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Last Updated:    

11/5/08

 

 

,Preventive Health Benefits

Mammograms:

A beneficiary 40 years of age or older is entitled to one screening mammogram every year.  Medicare will pay 80% of the approved charge; you pay 20% and the Medicare Part B deductible will not apply.  Beneficiaries must receive their mammography at a Medicare-approved mammography site.

Pap smear screening:

Medicare pays for one Pap smear screening and related medically necessary physician services, including a physician's interpretation of the test every 2 years or more frequently for women at high risk of developing cervical or vaginal cancers.  Medicare will pay 80% of the approved amount; you pay 20% and the Medicare Part B deductible will not apply.

Colon cancer screening:

These tests help find precancerous growths so they can be removed and prevent cancer.  They also help find colorectal cancer early, when treatment is most effective.  If you are age 50 or older, or are at high risk for colorectal cancer, one or more of the following tests is covered: Fecal Occult Blood Test, Flexible Sigmoidoscopy, Screening Colonoscopy, and/or Barium Enema.  How often Medicare pays for these tests depends on the test you and your doctor decide is best and your level of risk for this cancer.

Diabetic services and supplies:

   Medicare Part B will cover the costs of blood glucose monitors, test strips and lancets for people with diabetes (both insulin and non-insulin dependent) depending on the physicians specific orders.  Medicare will provide coverage for educational and training services furnished to an individual with diabetes by a qualified provider at the direction of the beneficiary's physician.  The providers must accept Medicare beneficiaries.

Bone mass measurement:

   For an individual at risk, Medicare will cover 80% of the cost of bone mass measurement tests. You pay 20% after the annual Part B deductible.

Prostate cancer screening:

   Medicare will cover prostate cancer screening, digital rectal exams, and prostate specific antigen tests every 12 months for men age 50 or older.  Medicare will pay 80% of the approved amount for the exam, you pay 20%.  There is no co-insurance or deductible for the PSA test.

Glaucoma Screening:

Medicare will cover glaucoma screening once every 12 months for an individual who is at risk for glaucoma, including people with diabetes, a family history of glaucoma, or African-Americans who are 50 or older.

 

 

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