Outpatient medical & surgical services & supplies
Medicare Coverage Information
Overview
Medicare Part B covers a wide range of outpatient medical and surgical services, including doctor visits, diagnostic tests, medical supplies, and preventive care. These services are essential for managing your health outside of hospital settings.
- Covers medically necessary outpatient procedures and services
- Includes doctor visits, diagnostic tests, and medical supplies
- Requires prior authorization for some specialized services
- Typically covers 80% of approved services after meeting the Part B deductible
- Medicare Part B beneficiaries
- Individuals 65 and older
- Some younger individuals with qualifying disabilities
- U.S. citizens or permanent legal residents
- Part B deductible applies ($240.50 in 2024)
- Beneficiaries typically pay 20% of Medicare-approved costs
- Some preventive services may be covered at 100% with no out-of-pocket costs
- Services must be deemed medically necessary
- Some procedures may require pre-authorization
- Not all medical supplies or services are fully covered
- Cosmetic procedures are generally not covered
- Confirm specific coverage with your Medicare plan
- Discuss medical needs with your healthcare provider
- Review your Medicare Summary Notice for detailed coverage information
- Contact 1-800-MEDICARE for specific questions
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare outpatient servicessurgical coverageMedicare Part Bmedical suppliesoutpatient procedures
Related Coverage Topics
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