Pain management
Medicare Coverage Information
Overview
Medicare provides coverage for various pain management treatments when deemed medically necessary. Coverage includes doctor visits, certain medications, physical therapies, and diagnostic procedures to help beneficiaries manage acute and chronic pain.
- Medicare Part B covers medically necessary pain management consultations and treatments
- Pain management services must be prescribed by a licensed healthcare provider
- Coverage includes diagnostic tests, physical therapy, and some pain management procedures
- Prescription pain medications may be covered under Medicare Part D
- Some alternative pain management treatments might require additional documentation
- Medicare Part B beneficiaries
- Individuals with documented medical need for pain management
- Treatments must be recommended by a Medicare-approved healthcare provider
- Typically 80% coverage after meeting Part B deductible
- Coinsurance may range from 20-40% depending on specific treatment
- Prescription pain medications have varying copayments under Part D plans
- Treatments must be considered medically necessary
- Some advanced or experimental pain management techniques may not be covered
- Requires pre-authorization for certain specialized procedures
- Annual limits may apply to physical therapy and rehabilitation services
- Consult with your primary care physician about pain management options
- Review your specific Medicare plan's coverage details
- Get a detailed treatment plan and necessary referrals
- Contact Medicare at 1-800-MEDICARE for specific coverage questions
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare pain managementchronic pain coverageMedicare pain treatmentpain management benefitsMedicare pain medication
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