Does Medicare cover allergy tests?

Man and woman speak to doctor in exam room

Yes, Medicare covers allergy testing if it’s medically necessary. Knowing your benefits under Medicare Part B (Medical insurance)  and Medicare Advantage plans (Part C)  can help you get tested and manage your symptoms. 

Let’s explore what Medicare covers, what it doesn’t and what you might pay. 

Key points

  • Part B covers allergy tests if your doctor orders them and they’re medically necessary.
  • Your doctor will need to document why the testing is needed for it to be approved. 
  • Medicare Advantage plans must cover the same allergy testing as Original Medicare, and some plans offer extra benefits. 

Which parts of Medicare cover allergy testing?

Here’s how Original Medicare and Medicare Advantage plans help cover allergy testing.1

Allergy test coverage under Medicare Part B

  • Part B is the main way Medicare pays for allergy tests.
  • If you have symptoms like rashes, asthma or possible food or environmental allergies, your doctor can send you to a specialist for testing.
  • The tests must be medically needed.

Allergy test coverage under Medicare Advantage (MA)

  • MA plans must cover the same tests as Original Medicare.
  • Some MA plans may require that you see a doctor within the plan’s network.
  • Check your plan details to see what is covered.

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What types of allergy tests does Medicare cover?

The tests covered will depend on your symptoms, your diagnosis and what your provider recommends. Here’s a look at some allergy tests covered by Medicare.1

Skin allergy tests

This is one of the most common tests. Doctors use skin prick or injection tests to check for allergies to pollen, pets, mold, dust, insect stings and more.

Blood tests

These tests check how your body reacts to allergens. They’re used if you have skin problems or take medicine that can affect skin test results.

Oral food challenge tests

Oral food challenge tests are one of the best ways to diagnose food allergies. The doctor gives you small amounts of food to see if you’re allergic. If you don’t react, you get more. If you react, the test stops.

What allergy tests does Medicare not cover?

Medicare does not cover:

  • Tests that are not medically needed
  • Tests from doctors who don’t take Medicare
  • At-home or over-the-counter tests
  • Experimental or unproven tests
  • Routine or precautionary tests

What’s the cost of an allergy test with Medicare?

If you only have Original Medicare, you’ll pay 20% of the Medicare-approved amount after you meet the Part B deductible  ($283 in 2026). If you have a Medicare Advantage plan , your costs may be lower. Check your plan details to find out your costs.

Does Medicare cover allergy shots?

Yes, Part B covers allergy shots. To be covered, the allergy shots must be prescribed and administered by a qualified provider who accepts Medicare.

Learn more about Medicare

For more information on the costs, coverage and types of Medicare plans, check out our library of Medicare articles . To see Medicare plans in your area with their premiums, copays and participating doctors and pharmacies, visit our Humana Medicare plans page .

Frequently asked questions

1. Do I need a referral to see an allergist with Medicare?

With Original Medicare, you usually do not need a referral. For Medicare Advantage plans, check your plan’s rules.

2. How often does Medicare cover allergy testing?

Medicare doesn’t have a limit if the tests are medically necessary.

How can we help?

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Source

  1. Allergy testing opens in new window ,” CMS.gov, last accessed June 9, 2026.