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Does Medicare Cover Dermatology?
Medically necessary dermatology is covered; cosmetic treatments generally aren't.
Talk to a Licensed Agent: (302) 407-0876What's Covered and What Isn't
Medicare covers dermatology visits when they're medically necessary — for example, diagnosing or treating skin cancer, or managing a chronic skin condition. Purely cosmetic procedures, routine acne treatment, and anti-aging treatments generally aren't covered.
Screenings are covered if you have signs of skin cancer or a strong family history, but a routine skin check with no symptoms or risk factors typically isn't a covered service on its own.
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Call (302) 407-0876What You'll Pay
For covered dermatology care under Original Medicare, you'll typically pay the Part B deductible plus 20% coinsurance. If you see a provider who doesn't accept Medicare's approved amount as full payment, they may be able to add a limited excess charge on top of your coinsurance.
A Medicare Advantage plan may require a referral from your primary care doctor and prior authorization before you see a dermatologist. A Medigap policy can help offset the coinsurance and excess charges if you have Original Medicare.
Related Reading
More on Health Advantage Plan
Official Government Resources