Your Medicare Coverage
Is my test, item, or service covered?
How often is it covered?
Medicare Part B (Medical Insurance) covers HIV (Human Immunodeficiency Virus) screenings. HIV is the virus that can lead to AIDS (Acquired Immunodeficiency Syndrome). Medicare covers this test once every 12 months for people who meet the guidelines below. Medicare also covers this screening up to 3 times during a pregnancy.
People with Part B are covered if they are:
- Younger than 15 and older than 65, and are at increased risk for the virus
- Between 15 and 65, and ask for the test
Your costs in Original Medicare
You pay nothing for the test if the doctor or other qualified health care provider accepts assignment.
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.