Your Medicare Coverage
Is your test, item, or service covered?
Mammograms
How often is it covered?
Medicare Part B (Medical Insurance) covers:
- Screening Mammogram: Covered once every 12 months (11 full months must have passed since the last screening)
- Diagnostic Mammogram: Covered when medically necessary
Who's eligible?
- Women with Medicare 40 or older are covered
- Women with Medicare between 35—39 can get one baseline mammogram
Your costs in Original Medicare
- Screening Mammogram: You pay nothing for the test if the doctor accepts assignment
- Diagnostic Mammogram: You pay 20% of the Medicare-approved amount