Medicare Coverage for Prostate Cancer Screening

Published by: Medicare Made Clear

Prostate cancer is the second most common cancer in American men, after skin cancer.1 However, it is also very treatable when diagnosed early. The 5-year survival rate for localized prostate cancer is 90 percent.2

 

 

What is the Screening Test for Prostate Cancer?

 

The screening test for prostate cancer is known as a PSA test. It’s a simple blood test that you can get during any doctor visit.

 

The PSA test measures prostate-specific antigen (PSA), which is made only by certain cells within the male prostate gland. A high PSA level could indicate prostate cancer or something else, such as an enlarged or inflamed prostate.

 

 

How Often Will Medicare Pay for a PSA Test?

 

Medicare Part B pays for one prostate cancer screening test each year. You pay no out-of-pocket cost for a PSA test if your doctor accepts Medicare assignment, and the Part B deductible does not apply.

 

Medicare Advantage plans also cover a yearly PSA test. Check with your plan for coverage details.

 

Talk with your doctor about prostate cancer screening. You may hear different ideas about how often men need to have a PSA test so it’s important for you and your doctor to decide what’s best for you.

 

 

1 https://www.cancer.org/cancer/prostate-cancer/about/key-statistics.html

 

2 https://www.cancer.org/cancer/prostate-cancer/detection-diagnosis-staging/survival-rates.html

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