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Does Medicare Cover Dermatology?


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Dermatology is a branch of medicine dealing with the skin and skin diseases. According to the American Board of Dermatology (ABDERM), dermatologists are doctors that can treat disorders of the skin, hair, nails, and adjacent mucous membranes. If you’re looking for a dermatologist near you that accepts Medicare, here is what you should know.

How can a dermatologist help me?

One thing dermatology may help with you is diagnosis and treatment of skin cancers, melanomas, and other tumors of the skin. According to the Skin Cancer Foundation, more people are diagnosed with skin cancer each year in the U.S. than all other cancers combined. If you are worried about any skin spots that are changing in size, color, or shape, you might want to visit a dermatologist who accepts Medicare.

Dermatologists can also manage cosmetic disorders of the skin, including hair loss, scars, and skin changes associated with aging, according to ABDERM.

Does Medicare cover dermatology?

Medicare Part B (medical insurance) generally covers doctor visits when medically necessary to diagnose and treat a medical condition. For most doctor visits, you pay 20% of the Medicare approved amount for the cost of the visit if the doctor accepts Medicare assignment.

Medicare Advantage is another way to get you Medicare Part A and Part B benefits from a private insurance company. Medicare Advantage plans sometimes charge different copayments for primary care physician visits and specialist visits. For example, you might have a $0 copayment if you have your skin examined by your primary care physician, but if you make a dermatology appointment, you might have a $20 copayment. If you’re in a Medicare Advantage plan that’s structured as a health maintenance organization (HMO) all your care may be managed by your primary care physician. This means that you may require a referral to see a dermatologist.

Medicare only offers limited coverage of cosmetic procedures, so if you are seeing a dermatologist for the treatment of wrinkles, for example, you may not be covered.

How can I find a dermatologist near me that accepts Medicare?

To find a dermatologist near you that accepts Medicare, you can use Medicare’s “physician compare” tool. To use the tool, simply type in your city and state and the keyword “dermatology.” Doctors and medical groups within 15 miles of your location should appear in the search results. This tool may also display performance information, such as patient ratings of clinicians.

Do you have more questions about Medicare coverage of dermatology? Feel free to enter your zip code on this page to browse Medicare plan options for Medicare Advantage, Medicare Part D, and Medicare Supplement near your area. Or, if you prefer to get personalized assistance, contact eHealth to speak with a licensed insurance agent. We can help you find Medicare plan options that address your Medicare needs.

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