Medicare.gov

HIV (Human Immunodeficiency Virus) screenings

Medicare Part B (Medical Insurance) covers HIV screenings if you’re eligible

  • Covered by Part B
  • Preventive Service
  • You pay nothing if your provider accepts assignment

Description

HIV screenings check to find out if you’ve been infected with HIV.

Who's eligible

Part B covers an HIV screening if you meet one of these conditions:

  • You’re between 15–65.
  • You’re younger than 15 or older than 65 and at an increased risk for HIV.

Am I at risk for HIV?

Costs

You pay nothing if your doctor or other health care provider accepts assignment .

How often

  • Once each year, if you meet one of the conditions for coverage.
  • If you’re pregnant, you can get a screening up to 3 times during your pregnancy.

Ask your doctor or healthcare provider how much your test, item, or service will cost.

Your doctor may recommend services that Medicare does not cover or offers too frequently. This could end up in additional costs for you. Make sure to ask your doctor about the reasons for these recommendations and what Medicare will actually cover.

Specific amounts you could owe depend on:

  • 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