Routine Physical Exam
Are Physical Exams Covered by Medicare?
Routine physical exams are not covered by Medicare.
If your Medicare Part B began on or after January 1, 2005, Medicare will cover a one-time preventive physical exam within the first six months of enrollment.
How Much Do I Pay?
You pay 100% for routine physical exams.
You pay 20% of the Medicare approved amount for the one-time preventive physical exam.
You must pay a $135 deductible for any Medicare Part B services and supplies before Medicare begins to pay its share. If a doctor, health care provider or supplier does not accept assignment; the amount you pay may be higher.
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