Coronavirus disease 2019 (COVID-19) monoclonal antibody treatments & products
Medicare Coverage Information
Overview
Medicare provides coverage for certain monoclonal antibody treatments for COVID-19, helping beneficiaries access critical medical interventions during the pandemic. Coverage may depend on specific treatment protocols and medical necessity.
- Medicare covers FDA-authorized monoclonal antibody treatments for COVID-19
- Treatment must be prescribed by a healthcare provider
- Coverage applies to both Original Medicare and Medicare Advantage plans
- Treatments must be administered in approved medical settings
- Coverage may vary based on current CDC and FDA recommendations
- Medicare Part B beneficiaries
- Patients with confirmed COVID-19 diagnosis
- Individuals at high risk of severe COVID-19 progression
- Treatment must be recommended by a healthcare professional
- Most treatments covered under Part B with standard hospital/outpatient copayments
- Beneficiaries typically pay 20% of the Medicare-approved amount after meeting Part B deductible
- During public health emergencies, cost-sharing may be reduced or waived
- Must be prescribed during active COVID-19 infection
- Treatment must be medically appropriate for the patient's specific condition
- Coverage subject to change based on emerging medical guidelines
- Not all monoclonal antibody treatments may be covered
- Consult with your healthcare provider about monoclonal antibody treatment eligibility
- Verify current coverage with your specific Medicare plan
- Call 1-800-MEDICARE for the most up-to-date information
- Discuss potential treatment options with your doctor
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- MedicareCOVID-19monoclonal antibodycoronavirus treatmentmedical coverage
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