Your Medicare Coverage

Is my test, item, or service covered?

Mammograms

How often is it covered?

Medicare Part B (Medical Insurance) covers a:

  • Screening mammogram once every 12 months (11 full months must have passed since the last screening)
  • Diagnostic mammogram when medically necessary

Who's eligible?

  • Women with Medicare 40 or older are covered
  • Women with Medicare between 35-39 can get one baseline mammogram

Your costs in Original Medicare

  • Screening mammogram: You pay nothing for the screening test if the doctor or other qualified health care provider accepts assignment
  • Diagnostic mammogram: You pay 20% of the Medicare-approved amount, and the Part B deductible applies.

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