Some Preventive Service Visits Come With a CostPosted by Medicare Made Clear
Medicare covers many preventive services to help you live a healthier life. If you have Medicare Part B, you are eligible to receive certain preventive screenings, visits and services at no extra cost to you.
If your doctor performs an additional test or service during a preventive health visit that isn’t covered under the preventive benefit, you may have to pay all or a portion of the cost of the non-preventive service. You will also be responsible for the cost of any diagnostic test your doctor recommends you have after the preventive visit. For example, Medicare Part B will cover a “screening” mammogram once every 12 months (11 full months must have passed since the last screening) at no extra cost to you. However, if your doctor wants you to have a “diagnostic” mammogram and you have Original Medicare, you’ll have to pay 20 percent of the Medicare-approved amount. The Part B deductible applies. If you have a Medicare Advantage or a supplement insurance plan, check with your plan for coverage.
Examples of Medicare Part B preventive services:
- One-time Welcome to Medicare Visit (Initial Preventive Physical Exam)
- Medicare Annual Wellness Visit
- Abdominal aortic aneurysm screening
- Alcohol misuse screening & counseling
- Bone mass measurements (bone density)
- Cardiovascular disease screening
- Cardiovascular disease (behavioral therapy)
- Cervical & vaginal cancer screening
- Colorectal cancer screening
- Depression screening
- Diabetes screening
- Diabetes self-management training
- Glaucoma test
- Hepatitis C screening test
- HIV screening
- Mammogram (screening)
- Nutrition therapy service
- Obesity screening & counseling
- Prostate cancer screening
- Sexually transmitted infections screening & counseling
- Flu shot
- Hepatitis B shot
- Pneumococcal shot
- Tobacco use cessation counseling
Learn more about what preventive screenings and tests are covered by Medicare Part B and the services they include.
For more information, explore MedicareMadeClear.com or contact the Medicare helpline 24 hours a day, seven days a week at 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.
Preventive & Screening Services: Medicare.gov
Medicare & You: Get the official U.S. government Medicare handbook.