| Tue, Sep 03, 2019 @ 07:00 AM

Does Medicare Cover Blood Tests for Cholesterol?

Posted by Medicare Made Clear

Medicare Part B generally covers a screening blood test for cholesterol once every five years. You pay nothing for the test if your doctor accepts Medicare assignment and takes Medicare’s payment as payment in full.

A complete blood test for cholesterol is called a full lipid profile. The results help your doctor monitor your heart health and detect conditions that may lead to a heart attack or stroke.

What does a lipid profile cover?

A full lipid profile measures the following:

  • Total cholesterol
  • Lipids (HDL and LDL)
  • Triglycerides

Your doctor may want you to have your cholesterol tested more often, depending on your health needs. For example, you may need more frequent tests if you are diagnosed with high cholesterol or you have other heart disease risks.

Coverage for Additional Blood Tests

Medicare Part B may help pay for additional blood tests for cholesterol if your doctor orders them. You’ll be responsible for 20 percent of the Medicare-approved cost (coinsurance) if you have Original Medicare (Parts A & B). A Medicare supplement plan may help pay the coinsurance, depending on the plan you have.

If you have a Medicare Advantage plan (Part C), check with your plan to learn about coverage for additional cholesterol tests and what the cost would be.

For more information about Medicare, 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.