How often will Medicare Part B pay for a mammogram?
(04/01/04) Medicare Part B covers mammogram screening on a yearly basis for female beneficiaries age 40 or older. One screening mammography is covered for female Medicare beneficiaries between their 35th and 40th birthdays. Medicare does not cover mammogram screening for women younger than age 35. Mammogram screening is intended to detect breast cancer early, before the patient shows signs or symptoms of the disease. It’s important that you talk with your health care provider to determine whether you’re a candidate for screening mammography or diagnostic mammography. A diagnostic mammogram is done when there is a sign or symptom of breast disease. The Part B deductible is waived for screening mammograms.
(02/15/11) Medicare Part B covers screening mammograms on a yearly basis for female beneficiaries age 40 or older. One screening mammography is covered for female beneficiaries between their 35th and 40th birthdays. Medicare does not cover screening mammograms for women younger than age 35. Diagnostic mammograms are performed when there is a sign or symptom of breast disease. The coverage of diagnostic mammograms is based on medical necessity, not frequency.
Related Questions
- How does the patient pay for the test if they do not have either Medicare Part B as a primary insurance or private insurance?
- If I enroll in a Medicare Advantage plan or a Medigap plan, do I still have to pay my Medicare Part B premium?
- Why are there two Medicaid programs (SLMB and Ql-1) that both pay the Medicare Part B premium?
