Does Medicare cover mammograms, and how often can I get them?

Question

Christopher Boyd · Accepted Answer

Medicare Part B has a very concise list of Preventive Services such as annual mammogram, cervical pap smear, and every other year bone density scan, etc. These are listed on the Medicare.gov website

Christy Jones · Answer

Yes, Medicare covers screening mammograms once every 12 month period. Diagnostic mammograms are covered as often as necessary with possible copays depending on if a beneficiary has met the deductible or the plan type.

Answered by Christy Jones on April 27, 2026

Broker Licensed in ID, AL, AR & 20 other states

Answered by Christy Jones Medicare Insurance Agent

Jacqueline Proffit · Answer

Part B covers both screening and diagnostic mammograms. this is included as an annual coverage or when medically necessary.

Steven Whetstine · Answer

Yes, and it would fall under Medicare Part B (Medical).  

If you are unsure as to whether Medicare covers a service or not, you can always go to Medicare.gov and click on "What Original Medicare Covers" under "Providers and Services."  It gives you the opportunity to search and identify whether the medical service or treatment would be covered.  

As far as how often one can get a Mammogram, it is dependent on the type of Mammogram.  A screening is usually offered once a year.  If it is a diagnostic mammogram, it can be more frequently as long as it is medically necessary.

Mark Zaruba · Answer

Mammograms are covered at 100% annually for your preventative exams.  There is a list of preventative procedures in your Medicare & You catalog all Medicare recipients should receive in the mail.

Brady Haffner · Answer

mammograms are typically covered under preventative services. I would recommend checking your summary of benefits.

Annelies Van Schie · Answer

Yes, Medicare Part B (Medical Insurance) covers mammograms. What cost they cover depends on the type of mammogram you get. For those 40 years and older, Medicare covers one preventive screening mammogram every 12 months. When you have medically necessary reasons for diagnostic mammograms to investigate or follow-up on an abnormal finding, Medicare could also covers those mammograms.

Answered by Annelies Van Schie on April 27, 2026

Broker Licensed in TX, AZ, FL, NC, OK & SD

Answered by Annelies Van Schie Medicare Insurance Agent

Harshil Patel · Answer

Hello

Yes Medicare covers mammograms as preventative care. They are covered annually, generally.

For more detail please take a look at the Medicare page:

https://www.medicare.gov/coverage/mammograms

Peyton Hanigan · Answer

The simple answer is yes Medicare Part B covers routine screening mammograms once ever 12 months. However, there are other factors to consider, like other insurance you may have, how much the doctor charges, if your doctor accepts Medicare assignment, and the type of facility where you get this screening done.

Answered by Peyton Hanigan on March 9, 2026

Agent Licensed in TX

Answered by Peyton Hanigan Medicare Insurance Agent

Angela Bertetto · Answer

Yes. Medicare does cover mammograms.
Woman 40 years and older can get annual mammogram screenings. 
However, if you need a diagnostic mammogram, and it’s medically necessary you may get more than one per year. 
The cost is usually free if the provider accepts Medicare. It’s always best to check with your provider before you schedule a test.

Andrew Zurbuch, MBA · Answer

Yes, Original Medicare covers baseline & screening mammograms.
Baseline mammograms if you’re a woman between ages 35–39. Screening mammograms are for woman ages 40 or older.
Screening &  baseline mammograms: You pay nothing for the test if your doctor or other health care provider accepts Medicare assignment. 

Source: https://www.medicare.gov/coverage/mammograms.
Thank you.

Ron Cronwell · Answer

Medicare covers medically necessary Mammograms as needed, usually once per year.  However, in consultation with your doctor and family history the frequency may be adjusted. 

Medicare follows the federal health guidelines for Mammograms.

Nick Sarant · Answer

Yes. Every year if you’re over 40. At no cost. Falls under preventative. Diagnostic mammograms are covered more frequently if medically necessary.

Gus Karigan · Answer

Yes, Medicare does cover mammograms. You are allowed preventative screening once per calendar year.

Routine annual mammograms are fully covered under Part B, which makes it easy for beneficiaries to stay on top of breast cancer screening.

Armand Smith · Answer

Medicare usually covers if the doctor requires it otherwise it is not covered every year. Also some carriers have wellness riders which may cover it every year. Best to check out the company you are thinking of working with.

Answered by Armand Smith on November 26, 2025

Broker Licensed in AZ, CA, CO & 8 other states

Answered by Armand Smith Medicare Insurance Agent

Françoise Mueller · Answer

Yes, Medicare does cover mammograms. It's called preventive care screenings. You get one free screening mammogram every 12 months, and if your doctor needs a diagnostic mammogram, Medicare covers that too, though you may have a small copay depending on your plan. Medicare covers a whole list of preventive screenings — things like colonoscopies, lung cancer screenings, diabetes screenings, bone density tests, and many more — all designed to catch issues early. Each screening has its own timing rules, but most are covered every 12–24 months, and I help you figure out exactly what you qualify for based on your age and health needs.

Answered by Françoise Mueller on June 1, 2026

Broker Licensed in UT, AL, AR & 35 other states

Answered by Françoise Mueller Medicare Insurance Agent

Steven Kirsch · Answer

You can have a mammogram once a year as part of your annual physical. However, if a physician is concerned about something he sees, they could order additional mammograms.

Meghan Blankenship · Answer

Yes - Medicare Part B covers mammograms. You can get one baseline mammogram between ages 35-39, and the one screening mammogram every 12 months once you're age 40 or older. If your doctor orders a diagnostic mammogram (because of symptoms or follow-up needs), Medicare also covers that whenever medically necessary.

Answered by Meghan Blankenship on November 25, 2025

Broker Licensed in FL, MD & OH

Answered by Meghan Blankenship Medicare Insurance Agent

Suzanne Lamperti · Answer

Yes, mammograms are covered by Medicare Part B every 12 months. See what's covered in your Medicare and you book.

Cheryl Lyons · Answer

🩺 Under Original Medicare (Part B)

Medicare covers:

✅ Screening Mammograms

Once every 12 months

Covered at 100% (no deductible, no coinsurance)

You must use a provider that accepts Medicare

If you’re between ages 35–39, Medicare covers one baseline mammogram.

✅ Diagnostic Mammograms

If you’re having symptoms (like a lump, pain, or abnormal screening result):

Covered as medically necessary

You may pay 20% coinsurance after your Part B deductible

Additional imaging (like ultrasound) may also apply cost-sharing

🌟 If You Have Medicare Advantage

Medicare Advantage plans must cover at least what Original Medicare covers.
Most plans cover annual screening mammograms at no cost in-network.

Diagnostic mammograms may have copays depending on the plan.

💡 Important Tip

Make sure the facility bills it as a screening mammogram if it’s routine.
If it’s coded as diagnostic, cost-sharing can apply.

Blaine Shipe · Answer

They are covered for free at one a year. Then the physician needs to oresdr more for diagnostics so the insurance companies will pay

Robert Evans · Answer

Yes. You can receive a mammogram for screening once every 12 months if you need a diagnostic mammogram, it can be more frequent than that.

Jason Marshall · Answer

Yes Mammograms are covered under Medicare as a preventative service. Depending on your area and plan, you’d be able to get one per year.

Chris Lewis · Answer

Medicare covers screening mammograms once a year for women aged 40 and older, and one lifetime baseline mammogram for women aged 35 to 39. For diagnostic mammograms, which are used if an abnormality is found, Medicare covers them more frequently than once a year if they are considered medically necessary.

Answered by Chris Lewis on December 9, 2025

Broker Licensed in AL & GA

Answered by Chris Lewis Medicare Insurance Agent

Michael Ross · Answer

Mammograms are considered a preventative service. Yes, a mammogram is covered.  You may go for the services annually. Other examples of preventative services include a colonoscopy, and vaccines.

Jason Colletti · Answer

Medicare covers mammograms as part of its preventive services. For women age 40 and older, a screening mammogram is covered once every 12 months under Part B (Medical Insurance). Additionally, if your doctor orders a diagnostic mammogram due to symptoms or other concerns, Medicare will cover the cost as well.

Answered by Jason Colletti on November 25, 2025

Broker Licensed in il

Answered by Jason Colletti Medicare Insurance Agent

Does Medicare cover mammograms, and how often can I get them?

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