Is a full-body skin exam covered by Medicare?

Are you wondering: "Does Medicare cover a full-body skin exam"? In some cases, Medicare does cover full-body skin exams as long as they are medically necessary. The quote for when Medicare doesn't cover full-body skin exams could land you with over a $150 bill just for a consultation.

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Chris Tepedino is a feature writer that has written extensively about home, life, and car insurance for numerous websites. He has a college degree in communication from the University of Tennessee and has experience reporting, researching investigative pieces, and crafting detailed, data-driven features. His works have been featured on CB Blog Nation, Flow Words, Healing Law, WIBW Kansas, and C...

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Laura Walker graduated college with a BS in Criminal Justice with a minor in Political Science. She married her husband and began working in the family insurance business in 2005. She became a licensed agent and wrote P&C business focusing on personal lines insurance for 10 years. Laura serviced existing business and wrote new business. She now uses her insurance background to help educate...

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Reviewed by Laura Walker
Former Licensed Agent Laura Walker

UPDATED: Jan 24, 2022

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The Rundown

  • Dermatologist visits must be medically necessary to be covered by Medicare
  • If you can get a referral through your doctor, it should be covered by your Medicare policy
  • Some Medicare Part C coverage options may allow preventative dermatologist visits

Does Medicare cover a full-body skin exam? Depending on whether the service is medically necessary for you, it can. Through Medicare Part C, some of the best insurance companies may also offer unique coverage for preventative dermatologist visits. Getting a referral from your primary physician should be enough to get you to a dermatologist.

Now that you know that Medicare does cover a full-body skin exam in some cases, enter your ZIP code into our free quote tool to see what you could pay for a policy today.

Does Medicare cover a full-body skin exam?

The answer to whether or not Medicare will cover a full-body skin exam comes down to what your doctor considers to be medically necessary. This is because standard Medicare only covers services “as needed,” meaning that you’ll need a referral from your primary care physician or to be diagnosed with the condition that requires it.

This doesn’t mean that it’s impossible to get coverage for a full-body skin exam with Medicare. Part C plans to partner with existing insurers to extend the coverage offered. If you do your research when selecting a plan, you should be able to find a partnered insurance company that’s willing to give you coverage.

If you went to a dermatologist and weren’t covered by insurance, you could pay over $150 just for your initial visit.

Does Medicare cover dermatology?

You can get a dermatologist visit covered by Medicare Part B as long as you meet the following requirements:

  • Treatment is medically necessary
  • You can pay a copayment
  • The treatment isn’t purely cosmetic

If you have a condition or spot on your skin that you’re worried about, seeing a dermatologist will likely be covered by the outpatient services in Part B. While you may get some minor cosmetic things covered, Medicare recipients should always consider how the agents in the program will view that use.

In summation, Medicare insurance can cover dermatology, depending on the level of proven necessity of the treatment. If your primary doctor refers you to a dermatologist, for example, you would have no trouble getting it covered by Part B Medicare for outpatient services.

Does Medicaid cover dermatologists?

As with dermatologists and Medicare coverage, you’ll need to prove that your visit is medically necessary in order to get covered by Medicaid. This proof can come through your primary doctor, who can refer you to see a dermatologist after checking out the problem areas. With a referral from a doctor, the insurance company can’t deny that a dermatological treatment is medically necessary.

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How do I find dermatologists near me that accept Medicare?

If you’re looking for a dermatologist near you that can accept your Medicare insurance coverage, consider using the tool on the official site. On Medicare.gov, you can use the official physician compare tool to find a doctor that accepts your insurance coverage.

What are the best Medicare preventive services?

It’s the goal of any insurance company to save as much as they can by keeping their customers healthy. This usually means finding several preventative services that the health insurance company offers at no additional cost. It seems that an ounce of prevention is worth a pound of cure to insurers.

Some of the preventative services that Medicare offers include:

  • Bone mass measurements
  • Cardiovascular screenings
  • Yearly wellness visits
  • Depression screenings

If you were to go to your doctor for your yearly wellness visit, you could ask the doctor to look at any trouble areas on your body you’re worried about. If the doctor sees enough to warrant it, they’ll refer you to a dermatologist. This would likely be the most affordable way to get to a dermatologist and have it covered by your insurance.

What can a Medicare-covered dermatologist help diagnose?

Dermatologists are professionals with experience looking at diseases and other conditions involving the skin. When thinking of dermatologists, one might conjure images of acne treatment or skin cancer, but dermatologists’ abilities go far beyond that.

If you’re worried about a condition or abnormality in your skin, a dermatologist can help you diagnose it. Dermatologists are trained to interpret a variety of skin diseases and problems such as:

  • Autoimmune disease
  • Canker sore
  • Genetic skin disorders
  • Hair diseases
  • Hyperhidrosis

This handful of illnesses is a slight drop in the bucket towards what a dermatologist may be able to help you with. If your skin is itchy, raised, sore, or anything else out of the normal, the doctor will be able to help you get to a more comfortable place.

Full-Body Skin Exam With Medicare: The Bottom Line

Now that you know sometimes Medicare does cover a full-body skin exam, you can begin looking for a dermatologist near you. While a dermatologist can be extremely helpful, it’s wise to remember that you need it to be medically necessary in order to have it covered by Medicare. Getting your primary doctor to check out any problem areas and refer you represents your best bet.

In some cases, Medicare does cover a full-body skin exam, so enter your ZIP code into our free quote tool to see what you could pay for a policy today.

  1. https://www.medicare.gov/care-compare/?providerType=Physician&redirect=true

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