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Is it true that Medicare now covers prostate cancer screening?

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Posted

Is it true that Medicare now covers prostate cancer screening?

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James Hodge

Interesting stuff and good to stay up-to date. The last I read about prostate health was in a Super Beta Prostate Supplement reivew. Taking care of the prostate is so important because so many people have prostate problems when they age.

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Medicare began covering prostate cancer screening tests for beneficiaries that meet certain criteria on Jan. 1. Medicare covers an annual digital rectal examination (DRE) and a prostate-specific antigen (PSA) test for all male beneficiaries over 50 years old. Although a screening DRE and PSA do not have to be performed and ordered respectively by the patient’s attending or primary physician, Medicare does require that these services be performed/ordered by a physician who is “knowledgeable about the patient and responsible for explaining the results.” Medicare’s intent is to prohibit a physician from performing/ordering these services when he or she sees the patient infrequently or only once. The requirement is designed, however, to allow some flexibility. For example, a physician who is a member of the primary physician’s group would be able to perform/order these services for the patient. Medicare will also pay for a DRE performed and a PSA test ordered by a physician assistant, clin

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