Does Medicare cover it?

Does Medicare cover a COVID-19 test?

Yes, a diagnostic lab test ordered by your doctor or other provider, under Part B. The estimator shows the test and lets you add the visits around it.

What this service costs you

You pay

$0

A lab test your provider orders usually costs nothing at a provider that takes Medicare.

How this is calculated

Medicare Part B covers COVID-19 diagnostic laboratory tests authorized by the FDA, the tests that check whether you have COVID-19. You usually pay nothing for the test when your doctor or other health care provider orders it and you get it from a laboratory, which can be at a pharmacy, a clinic or a doctor's office, or from a hospital that takes Medicare. The test is only one line of the bill, though. The visit where the provider examines you and orders it is a separate Part B service: a follow-up office visit approved at $95 nationally leaves you $19 once the deductible is met, or the whole approved amount if your $283 deductible is still open. Going to an emergency room instead brings a hospital copayment, $109 for a moderately severe visit at national rates. The medicare.gov coverage page describes lab tests ordered by a provider; a test you buy yourself at a store is not described there, so its price is yours. In a Medicare Advantage plan, check with the plan for any cost.

COVID-19 tests in a season

You pay

$0

Lab tests (Part B)$0
Home tests$0

Part B covers lab tests ordered by a provider; home tests you buy are counted at the price you type.

Other covered tests →

Costs computed by Radif Partners · Editorial policy · How the costs are calculated

What the coverage includes

The medicare.gov page on COVID-19 diagnostic laboratory tests states three things: Part B covers FDA-authorized COVID-19 diagnostic laboratory tests; you usually pay nothing when your doctor or other provider orders the test; and the test can be done by a laboratory, including one at a pharmacy, clinic or doctor's office, or by a hospital that takes Medicare. Medicare also covers other COVID-19 services, each on its own medicare.gov page: antibody tests, the vaccine, and monoclonal antibody treatments.

The bill around the test

A test rarely comes alone. Here is what each step can cost with Original Medicare at national rates of October 2026, with doctors and hospitals that accept assignment.

The hospital stay is billed under Part A: its deductible is separate from the Part B deductible.
StepYou pay, deductible metYou pay, first bill of the year
COVID-19 lab test ordered by a doctor$0$0
Doctor office visit, established patient (typical 20-30 minutes)$19$95
Emergency room visit, moderately severe problem$109$335
Inpatient hospital stay, 5 days (Part A)$1,736$1,736

The emergency room visit is the expensive door: a hospital copayment for the visit and for each hospital service, plus 20% of the doctor's fee. A Medigap Plan N turns that into a copayment of up to $50 when you are not admitted ($50 here), and no copayment is charged if you are admitted to the same hospital for a related condition within 3 days. A hospital admission costs the Part A deductible, $1,736 per benefit period in 2026.

COVID-19 tests in a season

You pay

$0

Lab tests (Part B)$0
Home tests$0

Part B covers lab tests ordered by a provider; home tests you buy are counted at the price you type.

Other covered tests →

Medigap and the visits

Since the lab test itself usually costs nothing, a Medigap policy matters for the visits around it. Plan G pays the 20% of the office visit once the deductible is met, leaving $0; Plan N pays it except a copayment of up to $20 for some office visits, $19 in our example. Plans C and F also pay the Part B deductible, but only people eligible for Medicare before January 1, 2020 can buy them.

Tests you buy yourself

The coverage page describes laboratory tests ordered by a provider. A test kit bought at a store or online without an order is not described on it, so count its price as yours unless your plan says otherwise. The calculator above adds both kinds: lab tests at the Part B cost and home tests at the price you type.

Before the test

Ask the provider how much the test, the visit and any other service will cost, and confirm that the laboratory or hospital takes Medicare. What you owe depends on any other insurance, on how much the doctor charges, on whether the doctor accepts assignment, on the type of facility and on where you get the service. Doctors may recommend services Medicare does not cover, or more often than it covers them; ask why a service is recommended and what Medicare will actually pay.

The estimator uses the 2026 Part B deductible. The 2027 amount is not published yet; CMS announces it in mid-November 2026.

Questions people on Medicare ask

Do I need a doctor's order for Medicare to pay for a COVID-19 test?

For the cost-free coverage described by medicare.gov, yes: the test is covered at usually no cost when your doctor or other health care provider orders it and a laboratory or hospital that takes Medicare performs it. The laboratory can be located at a pharmacy, a clinic or a doctor's office. Ask the place doing the test whether it takes Medicare before the sample is taken.

What does a COVID-19 test cost in a Medicare Advantage plan?

It depends on the plan. Medicare.gov advises people in a Medicare Advantage plan to check with their plan for any out-of-pocket cost. A plan must cover at least what Original Medicare covers, but it sets its own copays and network rules. Select Medicare Advantage in the estimator and enter your plan's copay for a lab test to see the result.

Is the doctor visit to get tested free too?

No, the visit follows the usual Part B rules: the deductible, then 20% of the approved amount. A typical follow-up visit leaves you $19 at national rates once the deductible is met, and $95 if it is your first Part B bill of the year. The yearly wellness visit is different: it costs $0 with a provider who accepts assignment.

Price another service

CMS files and Medicare.gov pages behind this page

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Medicare amounts for 2026, CMS files of October 2026, last checked on