Medicare Part B covers a broad set of preventive exams, vaccines, lab tests, screenings, counseling, and health-monitoring services, with most covered preventive services available at no out-of-pocket cost under the applicable rules.
Medicare Part B beneficiary who meets a preventive service's coverage rules
Entitlement facts
Benefit type
Government benefit. A government-funded or administered benefit, service, coverage program, assistance program, or public access route. Taxonomy definition →
What it unlocks
Medicare-covered preventive and screening services, including listed cancer, cardiovascular, diabetes, infectious-disease, behavioral-health, tobacco, wellness, vaccine, and nutrition services.
Who qualifies
Medicare Part B beneficiary who meets a preventive service's coverage rules
Requirements
The person must have Medicare Part B and meet the service's age, risk, timing, frequency, referral, and other coverage rules. To receive most services for no cost, the service must be covered and furnished by a provider who accepts Medicare assignment.
How to activate
Review the service-specific coverage and frequency rules, confirm that the provider accepts assignment, schedule the preventive service, and ask in advance whether any additional diagnostic or noncovered service is planned.
Cost basis
Included with a qualifying relationship. The benefit adds no separate charge, but the user must already have an eligible card, account, insurance plan, library card, membership, employment, or similar relationship that may itself cost money.
Cost and fees
Most covered preventive services cost nothing when the provider accepts assignment, but not every service is free. Charges can apply for noncovered frequency, diagnostic follow-up, facility or other services, or providers who do not accept assignment.
Geography
US, Medicare provider availability
Personalization
Published eligibility is not described as individually targeted.
EVIDENCE / 1 SOURCE
Eligibility is conditional, not guaranteed.
Check the provider's final terms immediately before applying, depositing funds, spending, or changing a paid relationship.
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Condition
Variable by provider or eligibility
Personalized
No
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Condition
No-cost access
Personalized
No
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