Social Security Report

Q & A

Medicare: Answer:What Does “Medically Necessary” Mean?

Answer: Medicare will only pay for services that are considered to be medically necessary. According to Medicare, services or supplies are considered medically necessary if they:

• Are proper and needed for diagnosis, or treatment of your medical condition.
• Are provided for the diagnosis, direct care, and treatment of your medical condition.
• Meet the standards of good medical practice in the medical community of your local area.
• Are not mainly for the convenience of you or your doctor.

Source: About.com

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