Medicare Pays - Get the Most from It! (cont.)

Cost: Fecal occult blood test is free; For ALL other tests, you pay 20% of the Medicare-approved amount after the yearly Part B deductible.

NOTE: If the flexible sigmoidoscopy or colonoscopy is done in a hospital outpatient department, you pay 25% of the Medicare-approved amount after the yearly Part B deductible.

9. Bone density scan for osteoporosis (bone thinning and weakening)

  • Eligible patients: Medicare beneficiaries at risk for osteoporosis
  • When needed: Once every 24 months (more often if medically necessary)
  • Cost: 20 percent of Medicare-approved total after Part B deductible

10. Diabetes screening and monitoring

  • Diabetes screening (fasting plasma glucose test) beginning January 1, 2005
    • When needed and for whom - talk with your doctor
    • Cost: free
  • Diabetes glucose monitors, test strips, and lancets
    • Eligible patients: All Medicare beneficiaries with diabetes
    • Cost: 20 percent of the Medicare-approved amount after the yearly Part B deductible
  • Diabetes self-management training
    • Eligible patients: For certain Medicare beneficiaries who are at risk for complications of diabetes. Your doctor must request this service.
    • Cost: 20% of the Medicare-approved amount after the yearly Part B deductible

11. Prostate cancer screening

  • Eligible patients: All men with Medicare age 50 and older (coverage for this test begins the day after your 50th birthday)
  • What's covered:
    • Digital rectal examination - once every 12 months
    • Prostate specific antigen (PSA) test - once every 12 months
  • Cost: Generally, you pay 20% of the Medicare-approved amount for the digital rectal exam after the yearly Part B deductible. There is no coinsurance and no Part B deductible for PSA test.

12. Glaucoma tests

  • Eligible patients: Medicare beneficiaries at high risk for glaucoma
  • When needed: Once every 12 months
  • Cost: 20% of the Medicare-approved amount after the yearly Part B deductible
    High risk: Your risk for glaucoma increases if you: have diabetes, have a family history of glaucoma, are African American and age 50 years or older.


Please remember that Medicare pays in part or in full for all ten of these health maintenance measures. If you have Medicare, we very strongly recommend that you enjoy these services so you can stay in the best of health. For more Medicare coverage information, please visit http://www.medicare.gov/default.asp.

-- The Medical Editors, MedicineNet.com


Last Editorial Review: 5/4/2005