Medicare coverage
Does Medicare Cover Principal Care Management?
Yes. Medicare Part B (Medical Insurance) covers primary care management services to help manage your care for a single, complex chronic condition, if you’re eligible.
Yes: Part B
Source: Medicare.gov, Principal care management services, checked October 23, 2026.
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Coverage at a glance
- Covered?
- Yes
- Which part
- Part B
- What you pay
- After the Part B deductible, you pay 20% of the Medicare-approved amount.
- Part B deductible 2026
- $283 a year (CMS). Part B premium $202.90 a month.
- Medicare.gov page
- Principal care management services
Description
Principal care management include disease-specific services to help your doctor or other health care provider manage your care for a single, complex chronic condition that puts you at risk of hospitalization, physical or cognitive decline, or death. Your provider will create a disease-specific care plan and continuously monitor and update it, including any changes to the medicines you take.
From Medicare.gov, checked October 23, 2026.
Who's eligible
If you have one chronic high-risk condition that you expect to last at least 3 months (like cancer) and you aren't being treated for any other complex conditions, Part B may pay for a health care provider to help manage it.
From Medicare.gov, checked October 23, 2026.
Costs
After the Part B deductible, you pay 20% of the Medicare-approved amount.
From Medicare.gov, checked October 23, 2026.
Related pages
- Does Medicare Cover Behavioral Health Integration?
Only in certain cases
- Does Medicare Cover Cognitive Assessments?
Yes
- Does Medicare Cover Chronic Care Management?
Only in certain cases
- Does Medicare Cover Transitional Care Management?
Only in certain cases
- Does Medicare Cover Advanced Primary Care Management?
Yes
- Does Medicare Cover Chronic Pain Management?
Yes
- Medicare Part B deductible 2027
- Part D out-of-pocket max 2027
- Dual eligible: Medicare and Medicaid together
- 2027 Medicare plans by county
- Everything Medicare covers, A to Z
Questions
Does Medicare Cover Principal Care Management?
Yes. Medicare Part B (Medical Insurance) covers primary care management services to help manage your care for a single, complex chronic condition, if you’re eligible.
Which part of Medicare covers Principal Care Management?
Medicare.gov lists Principal care management services under Part B.
How much do you pay for Principal Care Management with Medicare?
Per Medicare.gov: After the Part B deductible, you pay 20% of the Medicare-approved amount.
Does a Medicare Advantage plan cover Principal Care Management?
Medicare Advantage plans must cover what Original Medicare covers and some offer extra benefits. Check the plan's Evidence of Coverage. Rivvi does not recommend plans.
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Does Medicare Cover Principal Care Management?
Yes. Medicare Part B (Medical Insurance) covers primary care management services to help manage your care for a single, complex chronic condition, if you’re eligible.
Checked against Medicare.gov 2026-10-23. Source: Rivvi