Are all types of blood tests covered by Medicare?

Answered by 11 licensed agents

No, not all types of blood tests are covered by Medicare. What is covered is medically necessary diagnostic blood tests which are ordered by a physician, but it may not cover routine or preventative blood work that is not medically justified.

Answered by Diana Salisbury on April 30, 2025

Broker Licensed in OH, IN & MI

Answered by Diana Salisbury Medicare Insurance Agent
Generally speaking, yes Medicare covers all medically necessary blood tests ordered by your healthcare providers.

Covering these blood test allows your healthcare professional to track your health and even screen for disease prevention.

Medicare Advantage plans (Part C) may cover more blood tests than original Medicare (Part a and Part B). Under original Medicare, there is no separate fee for blood tests.

Answered by David Quintal on May 4, 2025

Broker Licensed in NH, AL, AZ & 14 other states

Answered by David Quintal Medicare Insurance Agent
I would say that Medicare covers traditional medical care. I do know that any Supplement or MAPD will cover most or all blood tests

Answered by Aaron Solomon on April 25, 2025

Broker Licensed in OH, LA & TX

Answered by Aaron Solomon Medicare Insurance Agent
No, not all types of blood tests are fully covered by Medicare. Medicare covers blood tests that are deemed medically necessary for diagnosis or treatment of a health condition, but routine screenings or tests done during annual physicals may not be fully covered.

Answered by Fred Manas on April 24, 2025

Agent Licensed in NY, CT, DC & 7 other states

Answered by Fred Manas Medicare Insurance Agent
No, not all types of blood tests are covered by Medicare. Medicare covers blood tests that are ordered by a doctor to help diagnose or treat a medical condition.

Answered by Vachik Chakhbazian on May 12, 2025

Agent Licensed in CA, AL, AR & 22 other states

Answered by Vachik Chakhbazian Medicare Insurance Agent
Everything is subject to medical necessity. If you have a particular blood test in question. Consult your doctor's office. They can assist in determining what's covered.

Answered by Marcie Barnes on May 11, 2025

Agent Licensed in TX, AK, AL & 48 other states

Answered by Marcie Barnes Medicare Insurance Agent
Not all blood tests are covered by Medicare — but many essential ones are, especially if they're considered medically necessary.

Covered by Medicare Part B (if medically necessary):

Complete Blood Count (CBC)

Lipid Panel (cholesterol and triglycerides)

A1C Test (for diabetes)

Blood glucose tests

Thyroid function tests

Prostate-Specific Antigen (PSA) (for prostate cancer screening)

Liver and kidney function tests

Hepatitis screenings

HIV and STD screenings (in certain cases)

Not typically covered:

Tests for employment, life insurance, or general curiosity

Experimental or non-FDA-approved blood tests

Some vitamin or hormone level tests (unless deemed medically necessary)

To be covered, the test must be ordered by your doctor and used to diagnose, monitor, or treat a medical condition. Preventive screenings like cholesterol or diabetes tests are often covered 100% under Medicare if you qualify.

Answered by Chuck Winslow on April 30, 2025

Agent Licensed in IN

Answered by Chuck Winslow Medicare Insurance Agent
If a blood test is ordered by your doctor. The blood test would be covered. However, depending on what type of Medicare plan there may be a cost.

Answered by Sean Krause on April 25, 2025

Broker Licensed in TN

Answered by Sean Krause Medicare Insurance Agent
No, some types of blood tests are not covered by Medicare. Ask your doctor to verify which test are covered so there are no surprises.

Answered by Mark Murphy on April 28, 2025

Agent Licensed in NJ, AL, CO & 9 other states

Answered by Mark Murphy Medicare Insurance Agent
No, not all types of blood tests are covered by Medicare. Medicare does cover tests that are deemed Medically Necessary, such as tests to diagnose or treat a health condition, or preventative tests like cholesterol screenings or screenings for heart disease (every 5 years). If it is not deemed Medically necessary then the test may not be covered.

Answered by Justin Hundley on April 24, 2025

Broker Licensed in WV, FL, KY, OH & VA

Answered by Justin Hundley Medicare Insurance Agent
Original Medicare covers "medically necessary" laboratory tests. Medicare Advantage Plans will cover "medically necessary" tests, as well. However, check your plan's "Statement of Benefits" for copays, coinsurance, or other limitations.

Answered by Vernon Pate on April 25, 2025

Broker Licensed in AR, MO & OK

Answered by Vernon Pate Medicare Insurance Agent

Tags: Coverage

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