People With Medicare
Prostate Cancer Screening
What it is:
This cancer affects the prostate, which is the gland below a man’s bladder that produces fluid for semen.
A rectal exam and a blood test called a Prostate Specific Antigen (PSA) test can find this cancer. Medicare covers both of these.
Why it is important:
Prostate cancer is the second most common type of cancer in American men. Screening can help doctors find and treat cancer early.
Who is covered:
Men age 50 or older are covered for this screening.
How often is it covered:
Both the digital rectal exam and the PSA test are covered once every 12 months. Ask your doctor how to get this screening.
What you pay:
You pay nothing for the PSA test. However:
- If you have Original Medicare and see a doctor who "accepts assignment," you pay 20% of the amount Medicare approves for the digital rectal exam and any remaining part of your Medicare Part B annual deductible ($147 in 2013). Doctors who accept assignment agree to accept the amount that Medicare will pay for a visit or service (called the Medicare-approved amount) as payment in full.
- If you are in a Medicare Advantage plan, check with your plan to find out specific costs for the digital rectal exam. Copayments and/or a deductible may apply.
Learn more about Prostate Cancer Screening on Medicare.gov
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