Get the preventive care you need

Here's a summary of the preventive tests, screenings, vaccinations and exams that Medicare covers at no cost to you. For complete details, go to your plan and check the Evidence of Coverage booklet.

Preventive vs. diagnostic tests

Remember, the services listed here are only preventive when you have no symptoms - if your doctor orders a test or screening because you are having problems, the test is "diagnostic." That means you will have to pay a share of the cost.

Abdominal aortic aneurysm (AAA) screening

Who is covered: Medicare members with certain risk factors for AAA.

When: Once in a lifetime, with a referral from your doctor.

Alcohol screening and counseling

Who is covered: All Medicare members

When: Annually

If you screen positive for alcohol misuse, you can get up to four brief face-to-face counseling visits per year (you must be competent and alert during counseling).

Annual Wellness Visit

Who is covered: All Medicare members

When: Annually

Bone mass measurement

Who is covered: Medicare members who are at risk of losing bone mass or at risk of osteoporosis

When: Once every 24 months or more frequently if medically necessary

Breast cancer screening (breast exams and mammograms)

Who is covered: All Medicare members

When: Breast exams: Every 24 months
Screening mammograms: One baseline at 35-39 years old, annually 40+

Cardiovascular disease risk reduction visit

Who is covered: All Medicare members

When: Annually

Cardiovascular disease testing

Who is covered: All Medicare members

When: Once every 5 years, when ordered by a doctor

Cervical (Pap test) and vaginal (pelvic) cancer screening

Who is covered: All female Medicare members

When:Pap & pelvic screenings: Every 2 years
Pap screenings annually if at high risk of cervical cancer or if you've had an abnormal Pap test within the past 3 years and are of childbearing age

Colorectal cancer screening

Who is covered: All Medicare members age 50 and older, but there is no minimum age for having a covered screening colonoscopy.

When: Consult with your physician on the screening you need: Fecal occult blood test, flexible sigmoidoscopy, colonoscopy, barium enema, cologuard.

Depression screening

Who is covered: All Medicare members

When: Annually

Diabetes screening

Who is covered: Medicare members at risk

When: Up to 2 tests per year with referral from your doctor

Diabetes self-management training (DSMT)

Who is covered: Medicare members with diabetes

When: As prescribed by your doctor

Glaucoma screening

Who is covered: Medicare members with diabetes mellitus or a family history of glaucoma who are African-Americans age 50 or older or Hispanic-Americans age 65 or older

When: Annually

Hepatitis C screening test

Who is covered: Members at high risk due to: Current or past history of illicit drug use, or blood transfusions prior to 1992, or born between 1945-1965

When: Once per lifetime, or annually for certain people at risk

HIV screening

Who is covered: All Medicare members

When: Annually or up to 3 times during a pregnancy

Immunizations

Who is covered: 
Medicare members.
Medium-to high-risk members specifically for Hepatitis B

When: 
Hepatitis B: Check with your doctor
Influenza (flu): Annually
Pneumococcal (pneumonia): Once in a lifetime for most people. A different second shot is covered 11 months after the first if needed

Lung cancer screening

Who is covered: Medicare members who meet all of these criteria: Age 55-77, current smoker/quit smoking in the last 15 years, have a tobacco smoking history of at least 30 "pack years" (average of 1 pack/day for 30 years)

When: Annually, when ordered by your doctor

Medical nutrition therapy (MNT)

Who is covered: Medicare members diagnosed with diabetes or a renal disease or who have had a kidney transplant within the last 3 years

When: A doctor referral is required

Obesity screening and therapy to promote sustained weight loss

Who is covered: Medicare members with BMI greater than 30

When: Consult with your physician

Prostate cancer screening

Who is covered: All male Medicare members age 50 or older

When: Annually

Sexually transmitted infections (STIs), screening and counseling

Who is covered: Medicare members at increased risk for STIs, or pregnant women

When: Every 12 months, or at certain times during pregnancy

Smoking and tobacco use cessation (quit) counseling

Who is covered: All Medicare members who use tobacco

When: Up to 8 visits in a 12-month period

Welcome to Medicare preventive visit

Who is covered: All Medicare members

When: Within the first 12 months you have Medicare Part B