Medicare will cover sexually transmitted infection screenings and counseling. Medicare will cover screenings for gonorrhea, syphilis, chlamydia, and hepatitis B. These screenings fall under Part B as a preventive service. Coverage is for those who need short counseling sessions on STD/STI prevention. These counseling sessions consist of 2 individual 20-30-minute, face to face sessions at a high-intensity.
The Centers for Disease and Control Prevention (CDC) suggests STD screening for those who:
- Are ages 13-64
- Are sexually active
- Had multiple sex partners
- Got a new sexual partner
- Have a sex partner who is or has been infected with an STD/STI
- A man with a male sexual partner
- Are pregnant
- Use drugs/needles and share them with others
Does Medicare Cover HIV Testing?
Does Part D Cover Sexually Transmitted Infection Screenings?
Stand-alone Part D or a Medicare Advantage Prescription Drug Plan might have coverage for medications to treat STDs or STIs. Many STD treatments often require prescription medications. Part D plans have a formulary, this is a list of medications the plan covers. However, medications used to treat HIV are in a separate class of drugs; also known as a “protected class”. Medicare plans offering prescription drug coverage must include “all or substantially all” drugs from this class. However, formularies may change any time; you’ll receive a letter of notification from your plan when necessary.
Do Medicare Supplements Cover Sexually Transmitted Infection Screenings?
With a Medigap policy; when Medicare covers the benefit, the Medigap policy also covers the benefit. This means a beneficiary with Medigap coverage could pay little to nothing for sexually transmitted infection screenings.
Applying for Medigap coverage is simple, an application can be done over the phone. Just call one of our agents at the phone number above. You can fill out an online rate form to discover the best rates in your area. Also, our services are absolutely free; so, call and talk with an expert in the Medicare industry today!