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

Question

Jason Rubin · Accepted Answer

Yes, Medicare covers various cancer screenings, primarily through Part B, and the frequency of these screenings depends on the type of cancer and individual risk factors.

Norman Smith · Answer

The parameters of coverage through your Part B of cancer screenings can also be found at Medicare.gov. Part B covers almost all screenings within a recommended time frame according to the particular cancer and the body. Medicare Part B will cover 80%, and then the balance is left to you, or should be billed to your Supplemental plan if you chose one. Do remember, however, that you may see the full amount of the $257 Part B deductible billed to you, depending on how much you have paid into it when services were rendered.

Answered by Norman Smith on April 6, 2025

Agent Licensed in FL & PA

Answered by Norman Smith Medicare Insurance Agent

Robert Simm · Answer

Great question! Coverage for Colorectal Cancer Screenings is once every 12 months.
and covered at 100% if performed by a Medicare-approved provider.

Flexible Sigmoidoscopy is every 48 months for average-risk individuals; every 24 months for high-risk individuals and is covered at 100% if performed by a Medicare-approved provider.

Colonoscopy every 10 years for average-risk individuals; every 2 years for high-risk individuals.
The cost is overed at 100% if it's a screening colonoscopy. If a polyp is found and removed, you may have to pay coinsurance for the diagnostic portion.

Natalee Nimmo · Answer

Yes, they do and original Medicare typically will do a cancer screening once every 12 months but it also depends on what type of screening you’re trying to get. The Medicare advantage plans will have to get a prior authorization before they will pay for it. Original Medicare doesn’t have prior authorizations so you don’t have to worry about that part; And if you have a Medicare supplement, they will typically take care of the portion that original Medicare doesn’t pay for.

Answered by Natalee Nimmo on April 8, 2025

Broker Licensed in SC, FL, GA & KY, MO, NC & TX

Answered by Natalee Nimmo Medicare Insurance Agent

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

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

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