Chemotherapy
Medicare Coverage Information
Overview
Medicare provides comprehensive coverage for chemotherapy treatments for eligible beneficiaries. Most chemotherapy services are covered under Medicare Part B, including treatments administered in hospital outpatient settings or doctor's offices.
- Chemotherapy is covered under Medicare Part B as a medical treatment
- Covers both inpatient and outpatient chemotherapy treatments
- Includes cancer drugs, administration, and related medical services
- Requires physician certification of medical necessity
- Covers chemotherapy for various types of cancer diagnoses
- Medicare Part B beneficiaries
- Patients with a confirmed cancer diagnosis
- Treatments prescribed by a Medicare-approved healthcare provider
- No age restrictions for chemotherapy coverage
- Typically covers 80% of approved chemotherapy costs after meeting Part B deductible
- Patients responsible for 20% coinsurance for chemotherapy services
- Additional costs may apply for hospital or facility fees
- Supplemental Medigap plans can help cover remaining out-of-pocket expenses
- Must be deemed medically necessary by a healthcare provider
- Requires prior authorization for certain advanced treatments
- Some experimental or clinical trial chemotherapies may not be fully covered
- Coverage may vary slightly between Original Medicare and Medicare Advantage plans
- Consult with your oncologist about Medicare-covered chemotherapy options
- Verify specific coverage details with your Medicare plan
- Contact Medicare at 1-800-MEDICARE for personalized coverage information
- Review your Medicare Summary Notice for detailed cost breakdowns
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare chemotherapycancer treatment coverageMedicare Part Bchemotherapy costscancer care
Related Coverage Topics
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