Clinical research studies

Medicare covers Clinical research studies, which test different types of medical care, like how well a cancer drug works. These studies help doctors and researchers see if a new treatment works and it’s safe. Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance) cover some costs, like office visits and tests, and in certain qualifying clinical research studies.

Who’s eligible?

All people with Part B are covered, in qualifying studies.

Your costs in Original Medicare

You may have to pay 20% of the Medicare-approved amount, depending on the treatment you get. The Part B deductible may apply.

Medicare will help pay for some of your costs if you join a covered clinical research study.
Medicare pays routine costs for items and services, including:
• Room and board for a hospital stay that Medicare would pay for even if you weren’t in a covered research study.
• An operation to implant an item that’s being tested.
• Treatment of side effects and complications that may result from the study.
Medicare won’t pay for:
• The new item or service the study is testing (except for certain medical devices) unless Medicare would cover the item or service even if you weren’t in a study.
• Items and services the study gives for free. Many times the study sponsor will give the treatment for free.
• Items or services given only to collect data and not used in your direct health care, like monthly CT scans for a condition that usually requires only a yearly scan.
• Coinsurance and deductibles.