Finding information about Medicare coverage is easier than ever now. Download the only official U.S. government Medicare app onto your mobile device.
What’s covered helps you understand the health care coverage offered by Original Medicare Part A (Hospital Insurance) and Part B (Medical Insurance).
Use this federal government app to:
-Answer your Medicare coverage questions
-See information about your costs
-Learn about covered items & services
-See notes & where to get more information
-Browse free preventive services
Original Medicare Items & Services
Find out what your Medicare coverage has to offer like:
- When are mammograms covered?
- Is home health care covered?
- Will Medicare pay for diabetes supplies?
Preventive Health Coverage
Medicare coverage includes preventive services at no cost to you. Preventive services can help keep you healthy by finding health problems early and can keep you from getting certain diseases.
What’s covered will help you answer questions like:
- Will my Medicare benefits cover services to help me stop smoking?
- Can I get a cervical cancer screening?
- How often will my Medicare coverage allow me to get a bone mass measurement?
Ask your doctor or health care provider which preventive services (like screenings, shots, and tests) you need to get.
Part A & Part B Costs
Medicare Part A and Part B cover certain medical services and supplies in hospitals, doctors’ offices, and other health care settings.
Part A hospital insurance coverage helps pay for inpatient care in a hospital, inpatient care in a skilled nursing facility, hospice care, home health care, or inpatient care in a religious nonmedical health care institution. Copayments, coinsurance, or deductibles may apply for each service.
Part B medical insurance coverage supports medically necessary doctors’ services, outpatient care, home health services, durable medical equipment, preventive services, and other medical services. Under Original Medicare, if the Part B deductible applies, you must pay all health care costs (up to the Medicare-approved amount) until you meet the yearly Part B deductible. After your deductible is met, Medicare begins to pay its share and you typically pay 20% of the Medicare-approved amount of the service, if the doctor or health care provider accepts assignment. There’s no yearly limit for what you pay out-of-pocket.
For some items and services, you must meet eligibility criteria or you may be responsible for paying all costs. Your doctor or health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.
Use the What’s covered app to answer questions like:
-How much will I pay for prescription drugs included in Medicare Part B coverage?
-Does the Part B deductible apply for cardiac rehab?
-What percentage of the Medicare-approved amount will I need to pay for colorectal cancer screenings?
What’s Not Included
What’s covered doesn’t contain information on Medicare Advantage Plan, other Medicare health plan, or Medicare Supplement Insurance (Medigap) coverage. It doesn’t contain a CPT code search, exact costs on surgeries or procedures, or local coverage decisions.
Medicare Advantage Plans
If you have a Medicare Advantage Plan or other Medicare health plan, you have the same basic health care coverage as people who have Original Medicare, but the rules vary by plan. Some Medicare Advantage Plans offer extra benefits that Original Medicare doesn’t cover - like vision, hearing, or dental. Check with the plan or search in the App Store to see if the plan has a similar mobile application.
This is Medicare’s first official app, and we value your feedback. Please tell us your thoughts by rating What’s covered.
- Spanish version now available.
- Search enhancements based on user feedback (keep the feedback coming!)
- Added a covered service – inpatient rehabilitation care
Ratings and Reviews
It’s handy to have this available to check prior to having testing done. It covers the major diseases and tests but not comprehensive, but then neither is Medicare. I would check here first and if I had questions research further before having the test or procedure done. Unless you are able to afford big medical bills and surprises don’t bother you. These expenses can quickly get out of sight. You also have to be savvy with some medical terminology and know how to enter the names of diseases and procedures the right way to get the info you need. Any step towards transparency in health care is a plus even if the program needs additional work.
I was hoping that this had access to my Medicare account
So I could keep track of previous services and suggested services, but it’s just a list of what’s available. Regardless of how crappy our national medical outlook is, medicare is still pretty generous with what it covers. I had sick sinus syndrome starting last year and they covered a dual valve pacemaker for me. But there still needs to be better coverage for not only dental but also orthodontics. It’s the one huge gap in the system. Well, two huge gaps seeing as how the system covers I exams but no longer helps you with access to glasses or lenses.
Pluses. A simple clean interface that assures people that most items they want are probably covered.
“Covered if medically necessary” leaves a lot unsaid, though. Most people believe a prescription is all that is needed to prove medical necessity to Medicare.
It provides some apparently conflicting information depending on your familiarity with the terms used. On one page it states bandages and gauze aren’t typically covered but on another it states that surgical dressings typically are. Most people would think of “surgical dressings” as bandages.
You have to know the correct terms or browse the entire alphabetical index and select likely candidates. For instance “knee brace” comes up with nothing (you have to know to search for generic term “brace”).
When you condense policy articles that are dozens of pages into a few lines say about oxygen, a lot is left out and a few inaccuracies are introduced. Hence the disclaimer that refers to Medicare’s rules.
Developer Response ,
We'll work to clarify the difference between coverage of surgical dressings and supplies. Thank you for bringing this to our attention. We're also working hard to improve our search feature. Thank you for this helpful list of pros and cons, which we'll use to make "What's covered" better for users.
- Centers for Medicare & Medicaid Services
- 92.1 MB
- Health & Fitness
Requires iOS 9.0 or later. Compatible with iPhone, iPad, and iPod touch.
- Age Rating
- Rated 4+
- © Centers for Medicare & Medicaid Services
With Family Sharing set up, up to six family members can use this app.