Medicare covers screening fecal occult blood tests if you get a referral from your doctor, physician assistant, nurse practitioner or clinical nurse specialist.
If you’re 45 or older, Medicare covers this lab test once every 12 months. If you’re under 45, Medicare doesn’t cover this test.
Your costs in Original Medicare
You pay nothing for this test if your doctor or other health care provider accepts
assignment
.
To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like:
- Other insurance you may have
- How much your doctor charges
- If your doctor accepts assignment
- The type of facility
- Where you get your test, item, or service
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. Ask questions so you understand why your doctor is recommending certain services and if, or how much, Medicare will pay for them.
