Are preventative screenings covered by Medicare?

Question

Yasmery Vargas · Accepted Answer

Most preventative services and procedures are covered under Medicare. Refer to your benefits explanation guide for specifics. There are other preventative procedures that must be medically necessary to be covered.

Answered by Yasmery Vargas on May 15, 2025

Agent Licensed in PA

Answered by Yasmery Vargas Medicare Insurance Agent

Lt Col Tim Brown · Answer

All preventative care is covered by Medicare. You can find a list on Medicare.gov or in your materials from your plan docs.

Lauryn Ivey · Answer

Yes, under Original Medicare, Part B covers preventative screenings, shots, and exams. So no matter what option you decide when it comes to Medicare, currently in 2025, preventative screenings are covered.

Answered by Lauryn Ivey on June 3, 2025

Broker Licensed in AL

Answered by Lauryn Ivey Medicare Insurance Agent

Steven Bleicher · Answer

Not necessarily. There are two kinds of “coding” that a doctor’s billing dept will assign to a visit. One is based on a real complaint and is coded as “diagnostic”. But when going for a yearly checkup, with no specific symptoms, that would be coded as being “preventive”. Though, if the checkup yields a problem, now the preventive code has to be changed to a diagnostic code. Thus, depending upon what plan & what company you have, at times your Medicare Advantage firm may want a “prior authorization” to occur before they are to approve any coverage.

Answered by Steven Bleicher on June 16, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent

Chad Watkins · Answer

Preventative screenings are covered by Medicare. The reason for this is because it actually costs them less money because illnesses are caught early thus preventing expensive care.

Tammy Stoner · Answer

Medicare Advantage plans must provide at least the same benefit coverage as original Medicare. 
If Medicare covers a preventative screening, then the Advantage plan must allow the same.

Cleo Martin · Answer

Yes they are covered. Most are at little or no cost. They can be found in the zmedicare and You book.

Rosalind Ryan · Answer

Yes, preventative screenings are covered by Medicare.  Click on the link to get a complete list of the screenings that are covered. https://www.medicare.gov/coverage/preventive-screening-services

Fred Manas · Answer

Yes, many preventive screenings are covered by Medicare & some are covered at no cost to the beneficiary. Specifically, Medicare Part B covers a wide range of preventive services, including screenings for various health conditions, vaccinations, & counseling. Here's a more detailed explanation:
Medicare Part B Coverage:  Preventive services are generally covered under Medicare Part B, which helps pay for doctor visits & outpatient care. No Cost Sharing for Some Screenings:  Many preventive screenings are covered without any deductible, copay, or coinsurance charges. This means that the beneficiary won't have to pay anything for these services. 
Specific Examples:  
Examples of covered preventive services include: 
Annual Wellness Visits: Medicare Part B covers a yearly "Wellness" visit to develop a personalized plan to help prevent disease & disability, based on your current health & risk factors. 
Welcome to Medicare Exam: Medicare covers a one-time "Welcome to Medicare" visit within the first 12 months of Part B coverage. 
Screenings for various conditions: This includes screenings for colorectal cancer, mammograms, & other conditions. 
Vaccinations: Medicare covers many recommended vaccinations, such as the flu & pneumonia shot. 
Counseling & education: This includes counseling & education on various health topics. 
Eligibility and Requirements:
Eligibility for free preventive screenings is often based on age, risk factors & Medicare-determined timeframes. It's also important that your doctor or other healthcare provider accepts assignment, meaning they accept the Medicare-approved amount as payment in full. 
Checking Your Coverage:
You can check your specific coverage & eligibility for preventive services by logging into your secure Medicare account or by contacting Medicare. 
In summary, Medicare offers a comprehensive range of preventive services, many of which are covered at no cost to the beneficiary. These services play a crucial in promoting healthy aging.

Carol Thompson · Answer

Yes there are preventative screenings covered by Medicare. I would recommend to verify the screening is covered prior to the screening.

Suzanne Lamperti · Answer

Medicare covers mammogram as well as some other preventative screenings. Check your Medicare and You book for details.

Linda Davies · Answer

Yes, Original Medicare, Parts A and B covers many preventative screenings such as mammograms, colonoscopies, Pap smears, and bone mass measurements.   

Medicare Advantage (Part C) must cover the same preventative care benefits as Original Medicare, but may have different rules, costs, and coverage restrictions, and additional preventative services beyond what Original Medicare provides.  

Please see your Evidence Of Coverage (EOC) for the list of preventative services covered under your plan.

Kevin Chaikin · Answer

Yes Medicare covers many preventative screenings at no cost. Things such as bone mass measurements, cardiovascular screenings, colonoscopies, mammograms, depression screenings, diabetes screenings, some vaccinations, amongst others.

Answered by Kevin Chaikin on June 18, 2025

Broker Licensed in VA, AL, AZ & 31 other states

Answered by Kevin Chaikin Medicare Insurance Agent

Jason Kirschner · Answer

Preventive services covered under Part B helps and carry no cost to you to you stay healthy, detect health problems early, determine the most effective treatments, and prevent certain diseases. Preventive services include exams, shots, lab tests, and screenings. They also include programs for health monitoring, and counseling and education to help you take care of your own health.

Answered by Jason Kirschner on May 14, 2025

Agent Licensed in FL

Answered by Jason Kirschner Medicare Insurance Agent

Toni Johnson · Answer

Most all preventative screenings are covered by Medicare no matter which plan or policy you have. This includes Original Medicare with or without a Medigap Policy or a Medicare Advantage Policy. There is a list of preventative screenings listed with every plan's policy sold.

Answered by Toni Johnson on May 14, 2025

Agent Licensed in FL, IN, MO & 5 other states

Answered by Toni Johnson Medicare Insurance Agent

Are preventative screenings covered by Medicare?

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Are preventative screenings covered by Medicare?

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Medicare Agents HubA non-government resource website

Medicare Agents Hub
A non-government resource website