Hepatitis C virus infection screenings

Medicare Coverage Information

Overview

Medicare provides coverage for Hepatitis C virus infection screenings for certain at-risk individuals as part of its preventive care services. These screenings help detect potential liver infections early, allowing for timely medical intervention and treatment.

  • Screening is typically covered once per year for individuals at high risk
  • No cost-sharing required for eligible beneficiaries when screening is performed by an in-network provider
  • Screening includes a blood test to detect Hepatitis C virus
  • Recommended for adults born between 1945-1965 and individuals with specific risk factors
  • Medicare Part B beneficiaries
  • Adults born between 1945-1965
  • Individuals with known risk factors for Hepatitis C
  • Patients with a history of injection drug use
  • Those who have received blood transfusions before 1992
  • No additional out-of-pocket costs for eligible beneficiaries
  • Screening is covered under Medicare Part B preventive services
  • Screening must be ordered by a primary care physician or qualified healthcare provider
  • Coverage limited to individuals meeting specific risk criteria
  • Annual frequency limit may apply
  • Consult with your primary care physician about Hepatitis C screening
  • Discuss your personal risk factors with a healthcare provider
  • Schedule a screening if you meet eligibility criteria
  • Contact Medicare at 1-800-MEDICARE for specific coverage details
Last updated: 6/15/2025

Quick Information

Provider
Medicare
Last Updated
6/15/2025
Topics
MedicareHepatitis C screeningpreventive careliver healthmedical screening

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