Mammograms are very important for women, especially after 40. Mammograms consist on x-ray pictures of the breast that check for breast cancer even if women have no symptoms or signs. This test can be expensive, so if you are Medicare-eligible you may wonder if Medicare covers the exam at all, and if it does how much you have to pay.

Are Mammograms Covered By Medicare?

Yes. Not only are mammograms covered by Medicare, but also the yearly exam is FREE. However, if you need a diagnostic mammogram, you will have to pay 20% of this cost. How much will that be for you? Well, that is more complicated because each medical provider that offers diagnostic mammograms can charge a different price.

Does Medigap cover Mammograms?

Medigap plans fill in the gaps of Original Medicare, therefore Medigap plans can cover the unforeseen cost of your diagnostic mammogram.

Plans like C and F cover your Part B deductible, copays, and coinsurance, and you should not have any out of pocket costs after your monthly Medigap premium with these plans.

However, if you turned 65 after 2020, your best bet is Plan G. This plan covers everything that F does except for the Part B deductible. Then again, even if you are able to enroll in Plan F, many times Plan G is still the best choice available.

Check out the most popular Medigap plans.

Does Medicare Advantage Cover Mammograms

Medicare Advantage does cover mammograms. With MA plans you still have the free preventive exam. However, since Medicare Advantage plans are not standardized, each company can cover mammograms differently.

To learn more about what Medicare covers call one of our licensed agents 800-930-7956.

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