Does Medicare Cover Dermatology Treatments?
- Acne treatment may be covered by Medicare under certain situations, and some Medicare prescription drug plans may cover prescription acne medication. Learn more about how Medicare provides coverage for skin conditions.
Medicare typically does not cover anything that is not considered medically necessary. Acne treatment is considered cosmetic in most cases, which means that Medicare typically does not cover acne treatment.
Acne treatment may be covered by Medicare if it’s a symptom of a medical problem, however. Medicare beneficiaries are advised to talk to their doctor to find out what, if any, of their dermatology treatments will be covered by Medicare.
Does Medicare Cover Acne Medication?
Some Medicare Part D prescription drug plans may cover prescription drugs used to treat acne. For example, 86% of Medicare Part D plans and Medicare Advantage Prescription Drug plans cover generic forms of Accutane.
What Skin Treatments Does Medicare Cover?
Medicare may cover treatment for certain skin conditions such as:
If you have acne as a symptom of a skin condition, some of your dermatology services – such as topical drugs or ultraviolet light – may be covered by Medicare. Make sure that your doctor accepts Medicare and find out how your acne treatment may be covered before you get any services.
Medicare may also cover a skin biopsy if your doctor deems it medically necessary because you’re experiencing skin-related symptoms that may be cancerous.
Some Medicare Advantage (Medicare Part C) plans may cover preventive services such as full body checkups for melanoma spots or skin lesions. Medicare Advantage plans are required to cover everything that Original Medicare (Parts A and B) cover, and most plans offer additional benefits that Original Medicare doesn’t cover.
Doctor’s visits for skin conditions are outpatient care, which Medicare Part B covers.
Part B is optional and comes with a standard premium of $148.50 per month in 2021. Beneficiaries are typically responsible for paying a 20% coinsurance payment after they meet their annual Part B deductible, which is $203 for the year in 2021.