Medicare covers a lot of services, but only when they’re medically necessary.
Medically necessary services are “health care services or supplies needed to diagnose or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medicine,” according to the Centers for Medicare & Medicaid Services, or CMS[0].
You can look services up online or talk to your health care providers to find out whether and how Medicare covers them. If Medicare won’t cover a service that you or your doctor thinks is necessary, you can appeal that decision.
How do I know whether a service will be covered?
ABNs are provided only to people with Original Medicare (Part A and/or Part B). If you have Medicare Advantage, you might get a different notice or form.
What makes a service medically necessary?
Medicare’s decisions about medical necessity happen at three levels, from most general to most specific[0]:
Laws. Federal and state laws can set requirements for what’s…
This article was written by Alex Rosenberg and originally published on www.nerdwallet.com