Mammogram coverage under Medicare
Breast cancer screening (mammograms)
Breast cancer is the most common non-skin cancer in women and the second leading cause of cancer death in women in the U. S. Every woman is at risk, and this risk increases with age. Breast cancer usually can be treated successfully when found early. Medicare covers screening mammograms and digital technologies to check for breast cancer before you or a doctor may be able to find it manually.
Women 40 and older are eligible for a screening mammogram every 12 months. Medicare also covers one baseline mammogram for women between 35–39.
How often is it covered?
Once every 12 months.
Your costs if you have Original Medicare
You pay nothing for the test if the doctor accepts assignment.
Am I at high risk for breast cancer?
Your risk of developing breast cancer increases if any of these are true:
• You had breast cancer in the past.
• You have a family history of breast cancer (like a mother, sister, daughter, or 2 or more close relatives who’ve had breast cancer).
• You had your first baby after age 30.
• You’ve never had a baby.
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