Your Medicare Coverage

Find out what Medicare covers

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Blood-based biomarker tests (screening) for colorectal cancer

Medicare Part B (Medical Insurance) covers a blood-based biomarker screening test to check for colorectal cancer if you meet all of these conditions:You’re between 45–85.You show no symptoms of colorectal disease (including, but not limited to, lower gastrointestinal pain, blood in stool, or…

Colonoscopies (screening)

Medicare covers screening colonoscopies once every 24 months if you’re at high risk for colorectal cancer...

Multi-target stool DNA tests (screening)

Medicare covers an at-home multi-target stool DNA lab test once every 3 years if you meet certain conditions. ...

Fecal occult blood tests (screening)

Medicare covers fecal occult blood screening tests once every 12 months if you’re 50 or older, if you get a written referral from your doctor, physician assistant, nurse practitioner or clinical nurse specialist...

Computed tomography (CT) colonography (screening)

If you’re 45 or older and at high risk for colorectal cancer, Medicare Part B (Medical Insurance) covers a computed tomography (CT) colonography screening test once every 24 months. If you aren’t at high risk, Medicare covers the test once every 60 months, or 48 months after a previous flexible…

Flexible sigmoidoscopy (screening)

Medicare covers screening flexible sigmoidoscopies once every 48 months for most people 45 or older...

Cervical & vaginal cancer screenings

Part B covers Pap tests and pelvic exams to check for cervical and vaginal cancer and a clinical breast exam to check for breast cancer...

Preventive & screening services

Part B covers many preventive services...

Lung cancer screenings

Part B covers Low Dose Computed Tomography lung cancer screening once each year if you meet certain conditions...

Mammograms

Part B covers a screening mammogram once every 12 months and a diagnostic mammogram when medically necessary...

Prostate cancer screenings

Explanation of prostate cancer screenings covered under Medicare Part B...

Glaucoma screenings

Part B covers a glaucoma test conducted or supervised by an eye doctor legally allowed to do the test in your state once every 12 months...

Cardiovascular disease screenings

Part B covers blood tests (cholesterol, lipid, triglyceride levels) every 5 years to help detect conditions that may lead to a heart attack or stroke...

Depression screening

Medicare Part B (Medical Insurance) covers one depression screening per year.If you or someone you know is struggling or in crisis, call or text 988, the free and confidential Suicide & Crisis Lifeline. You can call and speak with a trained crisis counselor 24 hours a day…

Hepatitis C virus infection screenings

Medicare covers one Hepatitis C screening test if your primary care doctor or practitioner orders it and if you meet certain conditions...

Sexually transmitted infection screenings & counseling

Explanation of Medicare’s coverage of sexually transmitted infection (STI) screenings...

Abdominal aortic aneurysm screenings

Medicare Part B (Medical Insurance) covers an abdominal aortic aneurysm screening ultrasound once in your lifetime if you’re at risk. You’re considered at risk if you have a family history of abdominal aortic aneurysms, or you’re a man between 65-75 and have smoked at least 100 cigarettes in your…

HIV (Human Immunodeficiency Virus) screenings

Part B covers HIV screenings for the virus leading to AIDS every 12 months or up to 3 times during pregnancy...

Alcohol misuse screenings & counseling

Part B covers one alcohol misuse screening each year if you’re an adult who uses alcohol, but you don’t meet the medical criteria for alcohol dependency. If your primary care doctor or other health care provider determines you’re misusing alcohol, you can get up to 4 brief face-to-face counseling…

Diabetes screenings

Part B covers screenings to check for diabetes. You may be eligible for 2 diabetes screenings each year...

Hepatitis B virus (HBV) infection screenings

Medicare covers Hepatitis B Virus (HBV) infection screenings if you’re at high risk or pregnant. ...

Electrocardiogram (EKG or ECG) screenings

Part B covers an EKG or ECG (as a one-time screening with a referral from your doctor as part of your "Welcome to Medicare" preventive visit and as a diagnostic test.)...

Clinical research studies

Medicare covers some clinical research studies, which test different types of medical care, like how well a cancer drug works...

Pre-exposure prophylaxis (PrEP) for HIV prevention

If you don’t have HIV, but your doctor or other health care provider determines you're at an increased risk for HIV, Medicare Part B (Medical Insurance) covers pre-exposure prophylaxis (PrEP) medication and related services.If you qualify, covered services include:FDA-approved oral or…

Breast prostheses

Part B covers external breast prostheses (including a post-surgical bra) post-mastectomy, outpatient surgically implanted breast prostheses...

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