Mammograms
Medicare Coverage Information
Overview
Medicare covers screening mammograms as a preventive service to help detect breast cancer early. Women can receive regular mammogram screenings with little to no out-of-pocket costs under certain conditions.
- Medicare covers screening mammograms for women 40 and older
- One baseline mammogram for women 35-39 is covered
- Screening mammograms are covered every 12 months for women 40 and older
- Diagnostic mammograms are covered when medically necessary
- No cost-sharing for screening mammograms when performed by Medicare-approved providers
- Women with Medicare Part B
- Women 40 and older for annual screenings
- Women 35-39 eligible for one baseline mammogram
- No cost for screening mammograms under Medicare Part B
- 20% coinsurance may apply for diagnostic mammograms
- Deductible may apply for diagnostic mammograms
- Must be performed by Medicare-approved healthcare providers
- Frequency limited to once every 12 months for screening
- Additional mammograms may require medical justification
- Consult with your healthcare provider about recommended mammogram schedule
- Verify provider accepts Medicare assignment
- Check with your specific Medicare plan for exact coverage details
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare mammogramsbreast cancer screeningMedicare preventive servicesmammography coveragewomen's health Medicare
Related Coverage Topics
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