Prostate cancer screenings
covers digital rectal exams and prostate specific antigen (PSA) blood tests once every 12 months for men over 50 (beginning the day after your 50th birthday).
- Digital rectal exam: You pay 20% of the
Medicare-approved amountfor a yearly digital rectal exam and for your doctor's services related to the exam. The Part B Deductible [glossary]applies. In a Hospital outpatient setting, you pay a Copayment.
- PSA test: You pay nothing for a yearly PSA blood test. If you get the test from a doctor that doesn’t accept
Assignment, you may have to pay an additional fee for the doctor’s services, but not for the test itself.
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
- Whether 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 whether Medicare will pay for them.