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Mammogram Screening Detailed
Coverage: Conditions that must be met before Medicare will provide coverage, and limits to coverage.
Medicare covers a mammogram screening once every 12 months for all women with Medicare age 40 and older. You can also get one baseline mammogram between ages 35 and 39.
The following Frequently Asked Question provides important information regarding how to calculate the 12 month period between mammograms:
How does the Centers for Medicare & Medicaid Services (CMS) define the "12 month" rule for screening mammography eligibility?
Medicare covers new digital technologies for mammogram screenings.
CoPayment: The amount you need to pay.
You pay 20% of Medicare-approved amounts with no Part B deductible.
Medicare Part: The part of Medicare that pays for this service or supply.
Organization Name: The organization name that this coverage topic is associated with.
Important Notes: Details regarding important notes about the coverage.
Actual amounts you must pay may be higher if a doctor, health care provider, or supplier does not accept assignment.