Mammograms
Medicare Part B (Medical Insurance) covers screening mammograms to check for breast cancer, if you're eligible
Description
Mammograms are screenings that check for breast cancer.
Coverage details
Medicare covers baseline, screening, and diagnostic mammograms.
Medicare only covers medically necessary breast ultrasounds when your health care provider orders them.
Who's eligible
- Baseline mammogram: If you’re a woman between 35–39.
- Screening mammograms: If you’re a woman 40 or older.
- Diagnostic mammograms: If it’s medically necessary.
Costs
- Screening and baseline mammograms: You pay nothing for the test if your doctor or other health care provider accepts assignment .
- Diagnostic mammograms: After you meet the Part B deductible , you pay 20% of the Medicare-approved amount .
How often
- Baseline mammogram: Once in your lifetime.
- Screening mammograms: Once every 12 months.
- Diagnostic mammograms: More frequently than once a year, if medically necessary.