Does Medicare Cover Abortion Services?
Fair Square Medicare

Does Medicare Cover Abortion Services?

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By Daniel Petkevich

Dec 13, 2022

The answer depends on the situation

Medicare covers abortion services in two instances: in the case of a pregnancy that is a result of an act of rape or incest and in the case of a life-endangering physical condition as a result of the pregnancy.

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What services does Medicare cover when it comes to abortions?

Medicare covers the cost of the abortion procedure, related medical services and follow-up care. This includes counseling, lab tests, ultrasounds and other necessary treatments. Required medications during the recovery period may also have coverage.

How do you qualify for coverage of abortion under Medicare?

To qualify for coverage of abortion under Medicare, you must meet the criteria laid out above. Specifically, the pregnancy must be a result of an act of rape or incest, or it must endanger your physical health. If you are unsure if your situation qualifies for coverage under Medicare, please get in touch with a Medicare representative for more information.

What are the exceptions to the rule?

In some cases, Medicare may not cover the cost of an abortion procedure. These exceptions include: when the pregnancy is elective (i.e., not a result of rape or incest); if the patient chooses to have a late-term abortion; and in certain other situations where it is deemed medically unnecessary.

How much does Medicare cover for an abortion procedure?

The amount of coverage for an abortion procedure varies depending on the individual and their situation. Generally, Medicare covers up to 80 percent of the cost of a medically necessary abortion procedure and related services.

Are there any other costs associated with getting an abortion covered by Medicare?

Yes, there may be other out-of-pocket expenses associated with getting an abortion covered by Medicare. This could include the cost of any diagnostic tests necessary to determine whether or not your situation qualifies for coverage under Medicare, as well as any follow-up care that is needed after the procedure. Your doctor and healthcare provider can provide more detailed information about these potential costs.

How can you get more information about Medicare and abortion coverage?

If you have any questions or concerns about Medicare coverage for abortion, please don’t hesitate to contact a Medicare representative. They can provide more information on what services are covered and how to qualify for coverage. You can also visit the Centers for Medicare & Medicaid Services website at to find out more information about your specific coverage. This can help ensure that you get the best possible care and financial assistance with your procedure. It is important to remember that Medicare coverage for abortion services is limited, and not all situations qualify for coverage.

Does Medicaid offer similar coverage in all states?

No, the coverage available through Medicaid varies from state to state. It is important to check with your local Medicaid office or healthcare provider to find out what services are covered in your area. In addition, some states may have restrictions on abortion coverage under their Medicaid programs. Be sure to research any applicable laws and regulations prior to seeking care.


Having access to quality healthcare and financial assistance is essential, especially when it comes to abortion services. If you have any questions or would like more information, please contact a Medicare representative for more detailed information about your specific situation. For questions relating to your Medicare plan, talk with an expert at Fair Square Medicare.

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Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

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