Your Medicare Coverage

Is my test, item, or service covered?

Sexually transmitted infections (STI) screening & counseling

How often is it covered?

Medicare Part B (Medical Insurance) covers sexually transmitted infection (STI) screenings for these:

  • Chlamydia
  • Gonorrhea
  • Syphilis
  • Hepatitis B

STI screenings are covered once every 12 months or at certain times during pregnancy.

Medicare also covers up to 2 individual 20-30 minute, face-to-face, high-intensity behavioral counseling sessions each year. These are covered for sexually active adolescents and adults at increased risk for STIs, if referred by a doctor.

Who's eligible?

  • People with Part B who are pregnant.
  • Certain people who are at increased risk for an STI when a doctor orders the tests.

Sexually active adults who are at an increased risk for STIs are also eligible for behavioral counseling sessions.

Your costs in Original Medicare

You pay nothing for STI screenings or counseling if your doctor accepts assignment. Medicare will only cover behavioral counseling sessions if both of these apply:

  • They’re provided by your doctor
  • They take place in a primary care doctor's office or primary care clinic

Behavioral counseling sessions conducted in an inpatient setting, like a skilled nursing facility, won't be covered as a preventive service.

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.

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