Federally Qualified Health Center services
Medicare Coverage Information
Overview
Medicare provides coverage for services at Federally Qualified Health Centers (FQHCs), which offer comprehensive primary care and preventive health services to underserved communities. These centers provide essential medical care with reduced out-of-pocket costs for Medicare beneficiaries.
- Covers primary care services at community health centers
- Includes preventive screenings and medical consultations
- Accessible for patients in medically underserved areas
- Reduced cost-sharing compared to traditional medical settings
- Services provided by qualified healthcare professionals
- Medicare Part B beneficiaries
- Patients in designated medically underserved areas
- No additional special enrollment required
- Typically covered under Medicare Part B
- Beneficiaries may pay a reduced copayment
- Costs can vary based on specific services and Medicare plan
- Services must be medically necessary
- Requires referral or authorization in some cases
- Coverage may differ between Original Medicare and Medicare Advantage plans
- Verify FQHC participation with your specific Medicare plan
- Contact local health center to confirm Medicare acceptance
- Review your Medicare Summary Notice for specific coverage details
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- MedicareFederally Qualified Health CenterFQHC servicesMedicare primary carecommunity health centers
Related Coverage Topics
Questions About Federally Qualified Health Center services?
Our experts can help you understand your Medicare coverage for federally qualified health center services. Get personalized guidance on costs, eligibility, and next steps.