Medicare pays for an annual mammogram screening for beneficiaries ages 40 and up. Medicare covers necessary diagnostic mammograms and other types of testing. Part B covers mammograms at a doctor’s office, outpatient imaging center, or other outpatient facilities. Costs will be different for screening mammograms than for diagnostic mammograms. Below we look into the different testing Medicare covers and the costs you might incur.
How Often Does Medicare Pay for Mammograms
If you’re under age 65 and on Medicare, Medicare will pay for one baseline mammogram when you’re between 35 and 39 years old. Once you’re 40, Medicare pays for a screening mammogram every year. When the doctor accepts assignment, you pay nothing for the screening. If the test is diagnostic, you’ll pay 20% of the costs. The average cost of a diagnostic Mammogram with Medicare is around $170. But, depending on your area and if you have extra insurance, your costs could be different.
Does Medicare Pay for Screening Mammograms?
Medicare pays for a routine screening mammogram every year, starting at age 40.
Does Medicare Cover Diagnostic Mammograms?
If a screening shows abnormalities, your doctor may order a diagnostic mammogram. When a screening shows breast abnormalities or a high breast density, your doctor may recommend follow-up testing. Testing might include a diagnostic mammogram, a breast ultrasound, or a breast MRI. Medicare pays for as many diagnostic mammograms that a doctor requires. Part B covers diagnostic mammograms, but you’ll pay 20% of the cost unless you have a supplement.
Does Medicare Pay for 3D Mammograms
A 3D mammogram creates multiple breast images, whereas a standard 2D mammogram shows only front and side views. Studies show that a 3D mammogram or digital breast tomosynthesis is more likely than a 2D image to detect breast cancer.
Medicare covers 3D mammograms in the same way as 2D mammograms. But, a 3D image is more expensive than a standard 2D mammogram. If your mammogram is for diagnostic purposes, your out of pocket costs may be higher with a 3D test.
Does Medicare Cover Breast Ultrasound?
Does Medicare Cover 3D Breast Imaging?
Medicare and Mammogram FAQ’s
How to Get Extra Help with Your Mammogram Costs with Medicare
If you need diagnostic mammograms, MRIs, or ultrasounds, the costs can add up. Medicare supplements can help by covering the expenses Medicare doesn’t pay. There are plenty of options through top companies. Whether you want Advantage or Supplement coverage, our agents can help you.
Don’t waste time calling a bunch of companies, call our agents to talk with one person that can get you a quote with all the top carriers. Our agents are Medicare experts. Your agent will ask you a few questions to better understand what you want and need in your policy. Then, your agent will explain a few options for you.
Once you decide the best plan for your needs, your agent will walk you through the application process over the phone. To get advice from a Medicare expert, call the number above now! Also, you can fill out an online rate form and get one step closer to your ideal coverage.