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Medicare Preventive Tests and Screening Services for Women

Medicare covers many preventive tests and screenings for women designed to identify serious problems early. Some of the services that you can take advantage of now include:

Test and Screenings

Annual wellness visit

Bone mass measurement

Cervical cancer

Mammogram

Cardiovascular Screenings

Diabetes 

Pelvic Exams and Pap Smears

Medicare covers 100 percent of the costs of a pelvic exam that can help detect fibroids or ovarian cancers. The benefit also includes a clinical breast examination for the detection of breast cancer. Most women are entitled to receive one pap smear every 24 months that helps identify vaginal or cervical cancer. For those at high risk for developing these types of cancers and those who recently received an abnormal pap smear, Medicare pays for a new pap smear every 12 months.

Mammograms and Mastectomy

Part B pays 100 percent for a screening mammogram once every 12 months and 80 percent for a medically necessary diagnostic mammogram. If a mastectomy is needed, Part A covers the cost of surgically planted breast prostheses (less deductible and coinsurance) and Part B pays for external breast prostheses along with a post-surgical bra and breast reconstructive surgery (less deductible and coinsurance).

Heart Disease

Medicare covers many services designed to prevent, diagnose, treat, or manage heart disease in women. A thorough preventive visit and annual wellness check are covered 100 percent, followed by a cardiovascular screening once every 5 years and two diabetes screenings per year along with clinical lab tests. In addition, medical nutrition therapy and diabetes management support are covered by 80 percent.

Bone Mass Measurement

Part B covers one bone density test every 24 months for qualified women who are at risk for developing osteoporosis. If qualified, you pay nothing for these services. If your doctor or health care provider recommends services beyond what Medicare covers, you may have to pay some or all of the costs. Medicare pays for an injectable drug designed to treat osteoporosis. Some women may also be eligible for a home visit from a nurse to inject the drug. Part B deductible and coinsurance apply to the costs of the drug, but you pay nothing for the home visit.

 

 

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Resources:

https://www.medicare.gov/coverage/mammograms.html

https://www.medicareinteractive.org/get-answers/medicare-covered-services/preventive-care-services/medicare-coverage-of-pap-smears-pelvic-exams-and-physical-breast-exams

https://www.medicare.gov/your-medicare-costs/costs-at-a-glance/costs-at-glance.html

https://www.medicare.gov/coverage/osteoporosis-drugs-for-women.html

https://www.medicare.gov/coverage/bone-density.html

https://www.medicare.gov/coverage/cardiovascular-disease-screenings.html

 

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