Prostate cancer screenings
Medicare Coverage Information
Overview
Medicare provides coverage for prostate cancer screenings to help men detect potential health issues early. Eligible beneficiaries can receive PSA blood tests and digital rectal exams with specific frequency and conditions.
- Medicare covers annual PSA blood tests for men over 50
- Digital rectal exams are also covered as a preventive service
- No cost-sharing for screenings when performed by Medicare-approved providers
- Screenings must be recommended by a qualified healthcare professional
- Coverage applies to both Original Medicare and Medicare Advantage plans
- Men aged 50 and older
- Medicare Part B beneficiaries
- Those with risk factors may qualify for more frequent screenings
- No additional cost for annual screenings
- 100% covered under Medicare Part B preventive services
- No deductible or copayment required for eligible screenings
- Screenings must be deemed medically necessary
- Limited to specific frequency (typically annual)
- Must be performed by Medicare-participating healthcare providers
- Consult with your primary care physician about prostate cancer screening
- Discuss personal risk factors and screening recommendations
- Schedule screenings with a Medicare-approved healthcare provider
- Call 1-800-MEDICARE for specific coverage questions
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare prostate cancer screeningprostate cancer screening coverageMedicare preventive servicesPSA testmen's health screening
Related Coverage Topics
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