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Coverage

Does Medicare Cover CT Scans?

Yes, Original Medicare, Medicare Advantage, and Medicare Supplement will all assist with covering CT scans and other preventive health screenings, including X-rays, MRIs, PET scans and EKGs. These will typically require a 20% copay.

Christian Worstell by Christian Worstell Published Reviewed by John Krahnert

Yes, Medicare typically pays for CT Scans, in addition to X-rays, MRIs,and EKGs. Depending on where you have the CT Scan, Medicare Part A or Medicare Part B may cover it.

The types of CT scans that are covered include portable CT, CT angiography and CT-guided procedures.

Other non-laboratory diagnostic screenings are also covered by Medicare Part B, though some out-of-pocket costs may apply.

What is the Medicare-Approved Amount for a CT Scan?

Your cost for CT scans performed in a doctor's office or in an independent testing facility will likely be a 20 percent coinsurance of the Medicare-approved amount. For scans done in a hospital outpatient setting, you'll be charged a copayment for the costs that Medicare covers.

Medicare Part B covers certain diagnostic tests that your health care provider deems necessary to advance a diagnosis or rule out a suspected illness or condition. These include CT scans.

Other such imaging services and diagnostic tests include X-rays, MRIs, PET scans and EKGs. Medicare will also cover certain preventive health care services.

Original Medicare Benefits

Original Medicare consists of Medicare Part A and Medicare Part B.

Medicare Part A covers:

  • Hospital care
  • Nursing home care
  • Skilled nursing family care
  • Home health services
  • Hospice care

Medicare Part B covers:

  • Services to prevent or detect an illness or a condition at an early stage
  • Services and supplies needed to diagnose or treat an illness or condition that meet accepted standards of medical practice 

Medigap Plans Cover Additional Health Care Benefits

Many Medicare beneficiaries also purchase Medicare Supplement Insurance, otherwise known as Medigap. Medigap plans are designed to help fill in the out-of-pocket cost gaps in Original Medicare, such as deductibles and coinsurance.

There are 10 standardized Medigap plan types that are sold by private insurers. While plan options vary from state to state, each type of Medicare Supplement Insurance plans must offer the following basic benefits:

  • Part A coinsurance for hospital care
  • Part A coinsurance or copayment for hospice care
  • Part B coinsurance or copayment
  • First three pints of blood

You can then select a Medigap plan with the additional benefits that meet your health care needs. Compare the basic benefits of each type of Medigap plan by using the chart below.

Medicare Supplement Insurance can help cover your out-of-pocket CT scan costs.

Or call 1-800-995-4219 to speak with a licensed insurance agent.

Does Medicare Cover CT Scans?

About the author

Christian Worstell is a licensed insurance agent and a Senior Staff Writer for MedicareSupplement.com. He is passionate about helping people navigate the complexities of Medicare and understand their coverage options.

His work has been featured in outlets such as VoxMSN, and The Washington Post, and he is a frequent contributor to health care and finance blogs.

Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. He currently lives in Raleigh, NC.

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