Close close icon

Does Medicare Cover Dermatology


Medicare coverage for dermatology services is widely available. However, coverage may vary depending on the policy. Medicare doesn’t pay for routine dermatology care unless it’s medically necessary. Part B may pay for dermatology care for evaluating, treating, or diagnosing a specific medical condition.

What Dermatology Services Does Medicare Cover

Before getting treatment, patients should talk with a doctor to ensure coverage of services and confirm cost. Cosmetic services such as botox treatments to remove wrinkles is not part of Medicare’s covered dermatology services. In contrast, these are just a few of the many treatment options for dermatological conditions. Patients should discuss all treatment options with their dermatologist.

Does Medicare Cover Skin Cancer Screenings?

Dermatologists often use services to screen patients to treat or diagnose a condition. If a doctor performs a skin cancer screening, Part B may cover some of the costs. However, coverage is only available for necessary services. For example, if a patient shows no signs of skin cancer – Part B won’t cover the costs of screening.

A mole with an unusual color or a new skin growth may be the reason for Part B screenings. Doctors often refer patients to a dermatologist for more extensive testing of potentially cancerous skin growth. In this case, Part B may cover the referral visit costs.

Does Medicare Cover Laser Hair Removal?

Medicare doesn’t cover cosmetic dermatology services, such as laser hair removal. These services are not necessary to treat or diagnose a condition. Cosmetic procedures are services that enhance the appearance of the individual undergoing treatment. Therefore, the patient must pay the entire cost.

Does Medicare Cover Mole Removal?

According to the Skin Cancer Foundation, each year in the U.S. – more people get a skin cancer diagnosis than all other cancers put together. Dermatologists have the proper training to treat and diagnose skin cancer, moles, and other tumors found on the skin. Specialists may remove a mole, whether it’s cancerous or for appearance reasons.

Medicare covers mole removal for patients with cancerous moles or growths. Any outpatient checkups or procedures fall under Part B coverage.

Does Medicare Cover Dermatology for Acne?

Treating conditions like acne, rosacea, and wrinkles may help improve the quality of the skin. Medicare covers dermatology screenings to ensure the skin remains healthy. Preventive services may include allergy testing, STD/STI screenings, and some acne treatment. Coverage may be available for these services when necessary to treat a condition.

Does Medicare Cover Allergy Testing?

Medicare will cover allergy tests given to treat a specific allergen. Allergy tests that involve pricking, scratching, or puncturing the skin, also known as percutaneous tests, are an example of an allergy test that Medicare will cover.

Does Medicare Cover Skin Tag Removal?

As long as the skin tag removal is considered medically necessary, Medicare will cover it. Medicare will also reimburse you for wart removal, and seborrheic keratosis removal is they are causing you pain or are continuously bleeding.

Does Medicare Cover Rosacea Treatment?

Yes, Medicare will cover any Rosacea treatment that’s approved by the FDA.

Does Medicare Cover Psoriasis Treatment?

Yes, your Part B will cover biologics for psoriasis. This includes coverage for any medications and costs for treatments administered by infusion.

Does Medicare Cover a Full Body Skin Exam?

Medicare doesn’t cover routine, full-body skin exams. Medicare covers examinations given in direct relationship to treating or diagnosing a specific illness, complaint, symptom, or injury. Screening procedures are for asymptomatic conditions; however, Medicare doesn’t pay for these. However, Medicare pays for skin exams following a biopsy because it’s not a routine service.

Will Medicare Cover Prescriptions Prescribed by my Dermatologist?

Certain drugs are not part of Part D coverage by law. Part D for dermatology doesn’t include the cost of meds for hair growth or cosmetic reasons. Many dermatology meds treat skin conditions such as acne, rosacea, psoriasis, or eczema. Part D covers the cost of these drugs because they’re for treatment.

Will Medicare Advantage Cover Dermatology?

Medicare Advantage plans must cover the same services that Medicare pays. But, the carrier controls your cost-sharing. You may end up paying more in coinsurance and copays then you would if you had Part A & Part B. If you have an HMO, you must stay in-network. But, if you have a PPO, it’s likely you can go out of network. Talk to your carrier to confirm what Dermatologist services are covered on your Summary of Benefits.

How to Find Dermatologist Near Me that Accept Medicare

Finding a dermatologist that accepts Medicare within a service area is easy with the “physician compare” tool. Plugin the city and state plus the keyword “dermatology.” Search results should show specialists within a 15-mile radius. Although doctors often have a list of specialists they recommend.

Get Help With Medicare Coverage for Dermatologist Services

Finding the right Medicare coverage for your dermatology services may seem difficult. Our team can help you find the right plan for your healthcare needs. Call us today at the number listed or fill out an online form to get your free quote today. There’s never any obligation to buy a plan when calling our agents. We will answer your questions and compare rates at no cost to you. Our goal is to get you there right supplemental coverage to cover as many out of pockets costs as we can.

Lindsay Engle

Lindsay Engle is the Medicare expert for MedicareFAQ. She has been working in the Medicare industry since 2017. She is featured in many publications as well as writes regularly for other expert columns regarding Medicare. You can also find her over on our Medicare Channel on YouTube as well as contributing to our Medicare Community on Facebook.

6 thoughts on “Does Medicare Cover Dermatology

  1. Does Medicare cover a painfull lump on my neck. They said I should have it removed. The nurse said it looks like a limp node but there not sure until they take it out.

    1. Hi Susan! As long as your doctor finds its medically necessary, Medicare will cover it. How much is covered depends on what Medicare Parts and supplement plans you’re enrolled in. If you only have Part B, with no supplemental coverage, you’ll be responsible for the deductible and the 20% coinsurance.

  2. At age 68 I am developing rhinophyma and spider veins as my facial skin becomes increasingly oily. I also have several spots of sebaceous hyperplasia. Are these conditions covered by Medicare?

    1. Hi Barbara! Thank you so much for your question. As long as your doctor finds it medically necessary to treat the above, then Medicare will cover it. Your best option is to ask your doctor if he thinks it’s medically necessary. I hope this helps!

  3. I have a strange spot growing on my chest that I would like to go to the dermatologist for body screening. Will this body scan be 80 percent covered if I am going on a gut feeling something doesn’t look right?

    1. Hi Sandra! Yes, your screening should be covered by Medicare. However, I would consult with your doctor first to confirm this since it depends on what code they put in when billing Medicare. If you have a Medigap plan, the remaining 20% will also be covered.

Comment

Your email address will not be published. Required fields are marked *