Does Medicare Cover High Blood Pressure Treatment?

Original Medicare — Medicare Part A and Part B — covers blood pressure checks during your initial “Welcome to Medicare” preventive visit after enrollment and also at your yearly Medicare wellness visit. Medicare Advantage and Medicare Part D prescription drug plans can help pay for blood pressure medications.

Terry Turner, writer and researcher for RetireGuide
  • Written by
    Terry Turner

    Terry Turner

    Senior Financial Writer and Financial Wellness Facilitator

    Terry Turner has more than 30 years of journalism experience, including covering benefits, spending and congressional action on federal programs such as Social Security and Medicare. He is a Certified Financial Wellness Facilitator through the National Wellness Institute and the Foundation for Financial Wellness and a member of the Association for Financial Counseling & Planning Education (AFCPE®).

    Read More
  • Edited By
    Matt Mauney
    Matt Mauney, Senior Editor for RetireGuide

    Matt Mauney

    Financial Editor

    Matt Mauney is an award-winning journalist, editor, writer and content strategist with more than 15 years of professional experience working for nationally recognized newspapers and digital brands. He has contributed content for ChicagoTribune.com, LATimes.com, The Hill and the American Cancer Society, and he was part of the Orlando Sentinel digital staff that was named a Pulitzer Prize finalist in 2017.

    Read More
  • Published: April 13, 2021
  • Updated: May 27, 2022
  • 4 min read time
  • This page features 4 Cited Research Articles
Fact Checked
Fact Checked

Our fact-checking process starts with vetting all sources to ensure they are authoritative and relevant. Then we verify the facts with original reports published by those sources, or we confirm the facts with qualified experts. For full transparency, we clearly identify our sources in a list at the bottom of each page.

Cite Us
How to Cite RetireGuide.com's Article

APA Turner, T. (2022, May 27). Does Medicare Cover High Blood Pressure Treatment? RetireGuide.com. Retrieved September 25, 2022, from https://www.retireguide.com/medicare/treatments/cardiovascular/high-blood-pressure/

MLA Turner, Terry. "Does Medicare Cover High Blood Pressure Treatment?" RetireGuide.com, 27 May 2022, https://www.retireguide.com/medicare/treatments/cardiovascular/high-blood-pressure/.

Chicago Turner, Terry. "Does Medicare Cover High Blood Pressure Treatment?" RetireGuide.com. Last modified May 27, 2022. https://www.retireguide.com/medicare/treatments/cardiovascular/high-blood-pressure/.

Why Trust RetireGuide.com
Why You Can Trust Us

Content created by RetireGuide and sponsored by our partners.

Key Principles

RetireGuide’s mission is to provide seniors with resources that will help them reach important financial decisions that affect their retirement. Our goal is to arm our readers with knowledge that will lead to a healthy and financially sound retirement.

We’re dedicated to providing thoroughly researched Medicare information that guides you toward making the best possible health decisions for you and your family.

RetireGuide LLC has partnerships with Senior Market Sales (SMS) and GoHealth.

Our partners are able to be reached through the phone numbers and/or forms provided on our website.

The content and tools created by RetireGuide adhere to strict Medicare and editorial guidelines to ensure quality and transparency.

Editorial Independence

While the experts from our partners are available to help you navigate various Medicare plans, RetireGuide retains complete editorial control over the information it publishes.

We operate independently from our partners, which allows the award-winning RetireGuide team to provide you with unbiased information.

Visitors can trust our inflexibility regarding our editorial autonomy. We do not allow our partnership to influence RetireGuide’s editorial content whatsoever.

How Does Medicare Cover High Blood Pressure?

The U.S. Centers for Medicare & Medicaid Services reported that 57 percent of Medicare patients who had doctor visits in 2017 had a diagnosis of high blood pressure — also called hypertension.

To detect and help prevent this common condition, Original Medicare covers annual blood pressure checks, doctor visits, blood pressure counseling and, in certain cases, monitoring.

High Blood Pressure Services Covered by Original Medicare
  • Annual blood pressure checks
  • Blood pressure counseling
  • Doctor visits
  • Certain telehealth services, e-visits and virtual check-ins (ask your doctor if these are covered)
  • Weight loss counseling
  • Smoking cessation counseling
  • Chronic care management (in certain cases if you have heart disease, asthma, diabetes or other chronic conditions)

Medicare Part A hospital insurance will cover most of the costs if you are hospitalized for high blood pressure. You are responsible for the deductible and a daily coinsurance payment for every day you are hospitalized beyond 60 days.

Medicare Part B will cover the full cost of your annual blood pressure checks, but if you require additional services or tests, you may need to meet your deductible and pay a coinsurance fee — usually 20 percent of the full cost of the visit or other service.

Medicare Advantage plans are required by law to cover everything Medicare Part A and Part B cover. However, your plan may offer additional benefits beyond what Original Medicare offers. Check with your plan’s administrator to determine your coverage for high blood pressure.

How Is High Blood Pressure Treated?

High blood pressure can often be controlled through lifestyle changes and medication. The condition typically has no symptoms, so it is important to check your blood pressure frequently.

Left untreated, high blood pressure can increase your risk of serious conditions such as heart disease, stroke and kidney failure. Uncontrolled hypertension results in an estimated 1,300 deaths every day, according to the U.S. Centers for Disease Control and Prevention.

Risk Factors for High Blood Pressure
  • A family history of high blood pressure
  • Being overweight
  • Eating salty foods
  • Excessive drinking
  • Lack of exercise
  • Smoking

In some cases, lifestyle changes alone can allow you to manage your high blood pressure. Medicare Part B medical insurance will pay for counseling services that help you change certain behaviors that contribute to high blood pressure.

If you can’t manage your blood pressure through lifestyle and behavioral changes alone, there are several prescription medications that can treat most cases of hypertension.

Clipboard with Medicare Info Need FREE Medicare Help?
Our Medicare experts will help you compare, build, and enroll in a plan that gets you the coverages you need at a price you can afford.

Does Medicare Cover High Blood Pressure Drugs?

High blood pressure can be treated with medication in most cases, but medications for hypertension are not covered by Original Medicare.

Medicare Advantage and Medicare Part D prescription drug plans — each sold by private insurers — can help with the costs of blood pressure medicines.

You may need to meet an annual deductible and have a copayment or coinsurance cost that you pay out of pocket.

Medicare Advantage and Medicare Part D plans vary depending on where you live and the type of plan you buy. Each will have a different formulary — a list of prescription drugs that the plan covers. Check your plan to get an idea about your share of the costs and see what drugs are covered for your treatment.

Medicare Coverage for Ambulatory Blood Pressure Monitoring

Medicare will cover the cost of ambulatory blood pressure monitoring (ABPM) if your doctor believes you have white coat hypertension, or blood pressure that only becomes elevated when you visit the doctor’s office or a hospital but otherwise stays within a healthy range.

If your doctor orders ABPM, Medicare will cover 80 percent of the Medicare-approved cost for the monitoring, as long as the device comes from a Medicare-certified supplier and your doctor accepts Medicare.

Medicare Criteria for Ambulatory Blood Pressure Monitor Coverage
  • Your blood pressure is higher than 140/90 on at least three separate office visits
  • Two measurements are taken at each of these office visits
  • Your blood pressure is less than 140/90 on at least two occasions outside the doctor’s office
  • You have no evidence of end-organ damage

To measure your blood pressure outside the office, clinic or hospital setting, your doctor can order an ambulatory blood pressure monitor for you to take home.

The device has a cuff that fits on your arm with a recorder. You’ll be required to wear it for 24 to 48 hours. During this time, the device measures your blood pressure while you are awake and asleep as you go through your normal daily routine.

The ABPM readings will allow your doctor to determine if you have high blood pressure or merely white coat hypertension.

Last Modified: May 27, 2022

4 Cited Research Articles

  1. U.S. Centers for Medicare & Medicaid Services. (2020, June). Hypertension Disparities in Medicare Fee-for-Service Beneficiaries. Retrieved from https://www.cms.gov/About-CMS/Agency-Information/OMH/Downloads/OMH_Dwnld-DataSnapshot-Hypertension.pdf
  2. U.S. Centers for Medicare & Medicaid Services. (2020, May 21). Concerned About Your Blood Pressure? Medicare Can Help. Retrieved from https://www.medicare.gov/blog/blood-pressure-education-month-2020
  3. U.S. Centers for Medicare & Medicaid Services. (2019, May 1). Feel the Pressure — Blood Pressure, That Is. Retrieved from https://www.medicare.gov/blog/feel-the-pressure-blood-pressure-that-is
  4. U.S. Centers for Medicare & Medicaid Services. (2001, October 17). Decision Memo for Ambulatory Blood Pressure Monitoring (CAG-00067N). Retrieved from https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=N&NCAId=5&bc=AiAAAAAAAgEAAA%3D%3D