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 it is 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 2014). 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.