Sexually transmitted infections screenings & counseling
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.
You pay nothing for STI screenings and counseling if your doctor accepts
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.
You doctor must order the test or refer you for behavioral counseling. Medicare will only cover counseling sessions if they’re provided by a doctor and take place in a primary care doctor’s office or primary care clinic. Counseling conducted in an inpatient setting, like a skilled nursing facility, won’t be covered as a preventive service.