Frequently Asked Questions
How can I find out if a specific service is covered by Medicare?
You can talk to your doctor or healthcare provider to confirm if Medicare will cover the service, test, or item you need.
What factors affect how much I have to pay for a covered service?
The amount you owe can depend on other insurance you have, how much your doctor charges, if your doctor accepts assignment, the type of facility, and where you receive the service.
What should I do if my doctor recommends a service that Medicare does not cover?
Ask your doctor why the service is recommended and what alternatives might be covered by Medicare to avoid additional costs.
Where can I search for coverage information using procedure codes?
The Medicare Learning Center provides a list where you can search by procedure code (CPT/HCPCS) for detailed coverage information.
How can I stay updated on changes to Medicare coverage and policies?
Sign up for updates from the Medicare Learning Center to receive important information directly to your inbox, including reminders about Open Enrollment and ways to save on costs.