Medicare covers medically necessary blood tests ordered by a physician based on Medicare guidelines. Medicare Advantage (Part C) plans may cover more tests, depending on the plan. There is no separate fee for blood tests under original Medicare.

What pathology tests are not covered by Medicare?

Some pathology tests don't qualify for a Medicare benefit. The patient must pay the full test fee. Examples include elective cosmetic surgery, insurance testing, and some genetic tests. Read about pathology services in the MBS on MBS Online.

Does Medicare pay for pathology tests?

You usually pay nothing for Medicare-covered clinical diagnostic laboratory tests. Tests done to help your doctor diagnose or rule out a suspected illness or condition. Medicare also covers some preventive tests and screenings to help prevent or find a medical problem.