HIV (Human Immunodeficiency Virus) screenings
Medicare Coverage Information
Overview
Medicare provides coverage for HIV screenings as a preventive service to help beneficiaries detect and manage potential HIV infections early. These screenings are an important part of maintaining overall health and can be crucial for early intervention.
- Medicare covers annual HIV screenings for individuals at increased risk
- Screenings are typically provided at no cost when performed by an in-network healthcare provider
- Screenings include confidential blood tests to detect HIV infection
- Frequency of screenings depends on individual risk factors
- Medicare Part B beneficiaries
- Individuals at increased risk for HIV infection
- Pregnant individuals
- People with certain behavioral risk factors
- No cost-sharing for eligible beneficiaries
- Screenings are covered 100% when performed by Medicare-approved providers
- No deductible or copayment required for preventive HIV screenings
- Screenings must be ordered by a primary care physician or healthcare provider
- Coverage is limited to individuals at increased risk for HIV
- Requires documentation of risk factors
- Consult with your primary care physician about HIV screening
- Discuss your personal risk factors with a healthcare provider
- Schedule a screening at a Medicare-approved healthcare facility
- Call 1-800-MEDICARE for more information about HIV screening coverage
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare HIV screeningHIV testingMedicare preventive servicesHIV preventionMedicare health screenings
Related Coverage Topics
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