Does Medicare cover Endoscopy?

Medicare Bob
Medicare General Info
Yes! Original Medicare Part B may cover 80% of your endoscopy procedure.
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Medicare Part B covers endoscopy

Original Medicare Part B may cover 80% of your endoscopy procedure. For Part B coverage, your doctor needs to determine it’s medically necessary. Furthermore, Medicare must approve the endoscopy, and a Medicare-approved doctor who accepts assignment must perform it.

If the endoscopy meets the above conditions, you pay only 20%. However, some Medicare Supplement Plans cover your 20% coinsurance cost. For example, Plan G pays 100% of Medicare-approved Part B outpatient costs. Please call Senior Healthcare Direct at 1-833-463-3262, TTY 711 to shop for a Medigap plan.

What is Endoscopy?

A doctor performs an endoscopy by inserting a tiny camera on the end of a long, flexible tube down your throat ( The procedure allows your doctor to visually examine your esophagus, stomach, and beginning of your small intestine. Your doctor may recommend an endoscopy procedure for the following reasons:

  • Investigate the cause of digestive issues such as nausea, vomiting, or difficulty swallowing.

  • Diagnose medical conditions, which may include collecting tissue samples (biopsy) to test for diseases.

  • Treat your digestive system, such as burning a bleeding vessel to stop bleeding, widening a narrow esophagus, or removing a foreign object.

In the video, Robert Bache’s digestive issue was difficulty swallowing. During Robert’s endoscopy, his doctor treated a narrow esophagus by putting a balloon down his throat to stretch it out. YM05182102


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