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 preventative 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 preventative 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.

Coverage Topics