Sexually transmitted infection screenings & counseling

Medicare Part B (Medical Insurance)

covers sexually transmitted infection (STI) screenings for chlamydia, gonorrhea, syphilis, and/or Hepatitis B if you’re pregnant or at increased risk for an STI.

Medicare also covers up to 2 individual 20-30 minute, face-to-face, high-intensity behavioral counseling sessions if you’re a sexually active adolescent or adult at increased risk for STIs.

Medicare covers these tests once every 12 months or at certain times during pregnancy. Medicare covers behavioral counseling sessions once each year.

Your costs in Original Medicare

You pay nothing for STI screenings and counseling if your doctor accepts

assignment

.

note:

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.

Things to know

Your primary care provider must order the test or refer you for behavioral counseling. Medicare will only cover counseling sessions a doctor provides in a primary care doctor’s office or primary care clinic. Medicare won't cover counseling in an inpatient setting (like a skilled nursing facility) as a preventive service.

Sexually transmitted infection screenings & counseling

note:

Is my test, item, or service covered?

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