Mammogram screenings are the main tool to determine if a woman has breast cancer. We get a lot of questions from clients on how Medigap covers your screening, and the easy answer is most of the time of it will be at no cost with Original Medicare, but sometimes you can have out of pocket expenses that Medigap can pick up.
Medicare and Mammogram Screenings
Mammogram screenings are given once every 12 months for women over 50, and are covered at 100% by Original Medicare. For some women, their mammogram screening will require more diagnostic testing. This is where Medigap has you covered. See below for more information about diagnostic mammograms.
Medigap and Diagnostic Mammograms
If you need a diagnostic mammogram (approx 8-10% of women), like we said above, this is where Medigap kicks in. The majority of plans will cover 100% of your Part B copays and coinsurance*, but only Plans C and F will cover your Part B deductible, and only Plans F and G will cover excess charges (if you see a doctor or use a facility that doesn’t accept assignment).
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*Plans K and L make you pay 50% and 75% of these costs, respectively. Plan N requires you to pay a $20 copay per doctor’s office visit.
For more information on Medigap plans in your areas call one of our licensed agents at 800-930-7956.