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

4. Pneumonia shot

  • Eligible patients: Medicare beneficiaries
  • When needed: Once for some patients, more than once for others
  • Cost: Free

5. Hepatitis B shot

  • Eligible patients: Medicare beneficiaries at high or medium risk for hepatitis B
  • When needed: Three shots are needed for complete protection. Check with your doctor about when to get these shots if you qualify to get them.
  • Cost: 20 percent of Medicare-approved amount after yearly Part B deductible
  • At risk for Hepatitis B: These common factors put you at medium to high risk for hepatitis B: hemophilia, end-stage renal disease, a condition that lowers your resistance to infection. Check with your doctor if you are unsure as to your risk.

6. Mammogram to screen for breast cancer

  • Eligible patients: Female Medicare beneficiaries age 40 and older. Medicare also pays for one baseline mammogram for women with Medicare between the ages of 35 and 39.
  • When needed: Once a year
  • Cost: 20 percent of Medicare-approved total (no Part B deductible)

7. Pap smear and pelvic exam to screen for cervical cancer

  • Eligible patients: female Medicare beneficiaries
  • When needed: Once every 24 months (2 years). However, if you are of childbearing age and have had an abnormal Pap test within the past 36 months, or if you are at high risk for cervical or vaginal cancer, Medicare will cover a Pap test and pelvic exam every 12 months.
  • Cost: Pap smear lab test free (no co-pay, no Part B deductible); Pap test collection and pelvic exam, 20 percent of Medicare-approved total (no Part B deductible)

8. Colorectal cancer screening

Eligible patients: Medicare beneficiaries age 50 and older, except there is no minimum age for having a screening colonoscopy.

  • Fecal occult blood test - Once every 12 months
  • Flexible sigmoidoscopy - Once every 48 months
  • Screening colonoscopy - Once eery 24 months (if you are at high risk); once every 10 years, but not within 48 months of a screening sigmoidoscopy (if you're not at high risk)
  • Barium enema - Your doctor can decide to use this test instead of a flexible sigmoidoscopy or colonoscopy. This test is covered every 24 months if you are at high risk for colorectal cancer and every 48 months if your are not at high risk.