Why Mammograms Matter for Women’s Health
Mammograms may not be anyone’s favorite screening test, but they remain one of the most effective tools for early breast cancer detection. And early detection saves lives.
According to the American Cancer Society, the five-year survival rate for localized breast cancer is now an impressive 99%. Regular mammograms can help ensure that if cancer develops, it’s found early—when treatment is most successful.
How Often Does Medicare Cover Mammograms?
If you’re enrolled in Medicare Part B, you can receive a screening mammogram once every 12 months at no cost to you, as long as your doctor or imaging center accepts Medicare assignment.
If you have a Medicare Advantage (Part C) plan, your mammogram is also covered—just make sure your provider is in your plan’s network to avoid unexpected costs.
✅ You pay nothing for a screening mammogram under Medicare Part B when using a participating provider.
If your doctor recommends additional or more frequent mammograms, or a diagnostic mammogram, you may have copays or other out-of-pocket costs depending on your plan.
What Is a Diagnostic Mammogram?
A diagnostic mammogram is different from a routine screening. It’s used when doctors need a closer look at a potential issue detected during a screening mammogram or physical exam.
This test helps determine whether a suspicious area is cancerous or benign.
Medicare Part B covers 80% of the Medicare-approved amount for a diagnostic mammogram. You’re responsible for the remaining 20%, and the Part B deductible applies.
If you have a Medigap plan, it may help cover your share of these costs.
If you’re enrolled in a Medicare Advantage plan, coverage rules and costs can vary, so check your plan details for specific information.
Mammograms: A Key Part of Women’s Preventive Care
A regular screening mammogram is just one of many preventive health services that Medicare covers for women. Other covered services include:
Annual Wellness Visits
Cervical and vaginal cancer screenings
Colorectal cancer tests
Depression and cardiovascular disease screenings
Diabetes screening and nutrition therapy
Your Medicare Wellness Visit is a great opportunity to confirm that you’re up to date on all recommended screenings — including your mammogram.
What Other Women’s Health Services Does Medicare Cover?
Medicare offers extensive preventive coverage to help women stay healthy and detect potential conditions early.
You can explore a full list of Medicare-covered women’s health services, including mammograms, bone mass measurements, and behavioral counseling
Key Takeaway
Medicare coverage for mammograms includes one free screening every 12 months under Part B.
Diagnostic mammograms are covered at 80% after the deductible.
Medicare Advantage plans also cover mammograms but may have different network or cost-sharing rules.
Staying current with your mammograms and other preventive screenings is one of the most powerful ways to protect your health.