Medicare Part B (Medical Insurance) covers:

  • A baseline mammogram once in your lifetime (if you’re a woman between 35-39).
  • Screening mammograms once every 12 months (if you’re a woman 40 or older).
  • Diagnostic mammograms more frequently than once a year, if medically necessary

Your costs in Original Medicare

  • 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 .

What it is

Mammograms are screenings that check for breast cancer.

Things to know

Medicare only covers medically necessary breast ultrasounds when your Medicare-enrolled health care provider orders them.

Is my test, item, or service covered?