How often is it covered?
Medicare covers sexually transmitted infection (STI) screenings once every 12 months or at certain times during pregnancy. Medicare also covers up to 2 individual behavioral counseling sessions each year for people who meet certain criteria.
Who’s eligible?
Medicare covers screenings for people with Medicare who are pregnant and/or for certain people who are at increased risk for an STI when the tests are ordered by a primary care provider. Sexually active adults who are at an increased risk for STIs are eligible for behavioral counseling sessions.
Your costs in Original Medicare
You pay nothing for STI screenings if the doctor or health care provider accepts assignment. Medicare will only cover behavioral counseling sessions if they’re provided by a primary care provider and take place in a primary care setting such as a doctor’s office. Behavioral counseling sessions conducted in an inpatient setting, such as a skilled nursing facility, won’t be covered as a preventive service.