Original Medicare (Parts A & B): COVID-19 (Coronavirus Disease 2019)

Many older adults are at higher risk for serious COVID-19 illness. Medicare covers several tests, items, and services related to COVID-19.

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Cost
$0
Prior Authorization Required
No
Provider Referral or Order Required
Yes

How To Receive

Details on how to apply

Diagnostic laboratory tests

  1. Request a primary care provider order a COVID-19 test.

  2. Complete the test in the provider's office or take the order to a hospital, laboratory, pharmacy, or clinic for completion.

Monoclonal antibody treatments and products

  1. Have a positive COVID-19 test and mild to moderate symptoms.

  2. Request a provider order for monoclonal antibody treatment.

  3. Arrange for treatment at a Medicare-certified provider or supplier.

  4. Complete the treatment and any recommended follow-ups.

- OR -

  1. If your loved one has not tested positive for COVID-19 or does not have symptoms but does have a weakened immune system, talk with their provider about whether preventive monoclonal antibody treatment is right for them.

  2. If so, obtain a provider order for monoclonal antibody treatment.

  3. Arrange for treatment at a Medicare-certified provider or supplier.

  4. Complete the treatment and any recommended follow-ups.

For more information on Medicare benefits and coverage, call 1-800-MEDICARE (1-800-633-4227) or visit the Medicare Benefits Website. TTY users, call 1-877-486-2048.

Availability
As ordered
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COVID-19 vaccines

See the Flu, COVID-19, Pneumonia, & Hepatitis B Shots benefit.

Diagnostic laboratory tests

FDA-authorized tests to check for COVID-19. There is no cost if a healthcare provider orders a test and the test is performed by a hospital, laboratory, pharmacy, clinic, or provider's office. Home test kits are not covered by Medicare.

Monoclonal antibody treatments and products

FDA-authorized treatments can help fight the disease and keep your loved one out of the hospital if they test positive for COVID-19 and have mild to moderate symptoms. Medicare covers monoclonal antibody treatments if your loved one has COVID-19 symptoms.

Certain monoclonal antibody products can also protect people before they are exposed to COVID-19. If your loved one has Part B and their provider decides this type of product could work for them (such as if they have a weakened immune system), then there is no cost for treatment from a Medicare provider or supplier, though your loved one must meet certain conditions to qualify.

More information

To learn more about these covered services, go to Medicare.gov/medicare-coronavirus.

For more on COVID-19, visit CDC.gov/coronavirus.

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