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Saving Advice
Lifestyle
Amanda Blankenship

Your Doctor Prescribes Another Test After 65 — 6 Questions Worth Asking Before You Pay

Medicare diagnostic test costs
Medicare doesn’t automatically cover every doctor-ordered test without out-of-pocket costs. Asking about medical necessity, preventive versus diagnostic billing, and testing locations can help retirees avoid unexpected expenses. ShotPrime Studio/Shutterstock

Your doctor recommends another blood test, imaging scan, or screening procedure, and you assume Medicare will take care of the bill. After all, you’re over 65, you’ve been paying Medicare premiums, and the test was ordered by a medical professional. Then a statement arrives showing a $175 charge you weren’t expecting. Suddenly, a routine doctor’s appointment has turned into another expense your retirement budget needs to absorb.

The reality is that Medicare diagnostic test costs can vary depending on why a test is ordered, where it’s performed, and which type of Medicare coverage you have. Even tests that sound preventive may involve deductibles or coinsurance under certain circumstances. Before scheduling your next nonurgent procedure, these six questions could help you understand the medical necessity, avoid billing surprises, and make more informed healthcare decisions.

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