Pelvic Exam and Mammogram Coverage

Posted:July 27, 2015

Medicare will cover pelvic exams and Pap tests to check for cervical and vaginal cancers for women once every 24 months.  Medicare will cover these screenings once every 12 months if you are considered to be at high risk or a woman of child bearing age who had an exam indicating cancer or other abnormalities in the past 3 years. You are considered to be at high risk if you’ve had an abnormal pap test, had cervical or vaginal cancer in the past, had a history of sexually transmitted diseases, or if your mother took DES (Diethylstillbestrol), a hormonal drug, while pregnant with you.  Medicare will cover the costs of Pap tests and pelvic exams once every 24 or 12 months if your Doctor accepts Medicare assignment.  There will be no cost to you.

Medicare also covers mammograms and digital technologies to check for breast cancer for women 40 and older once every 12 months. Medicare will also cover a baseline mammogram for women between the ages of 35-39. Breast cancer is the second leading cause of cancer death in women in the US.  Although every woman is at risk, the risk increases with age.  If found early, breast cancer can be successfully treated. Those considered to be high risk have a family history of breast cancer, had their first child after age 30, or never had a baby. Medicare will pay for these tests at no cost to you if your Doctor accepts Medicare Assignment.