Mammograms

Medicare Part B (Medical Insurance) covers:

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

Your costs in Original Medicare

  • Screening 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 , you pay 20% of the Medicare-approved amount .

What it is

Mammograms are screenings that check for breast cancer.

Things to know

Medicare covers medically necessary breast ultrasounds only when your doctor or other health care provider orders them.

Is my test, item, or service covered?