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Are Dermatology Services Covered by Original Medicare?

Tuesday Nolden by Tuesday Nolden | Licensed since 2012

This article was updated on: 12/10/2015

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Medicare Part B generally covers doctor services when they are medically necessary to evaluate, diagnose, or treat a medical condition. So if you’re going to a dermatologist to treat a medical skin condition, your visit will probably be covered. For most doctor visits, you pay 20% of the Medicare-approved amount if your health-care provider accepts assignment.

Medicare Advantage may also cover dermatology visits. However, if you’re in an HMO plan, you will probably need a referral to see a dermatologist from your primary care doctor first. If you have a Medicare Advantage PPO or another type of Medicare Advantage plan, you may not have to get a referral.

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