Does Medicare Cover Mammograms?

Mammograms are one of the best ways to detect early signs of breast cancer. Medicare covers a free mammogram screening each year for women 40 and older at no cost. Diagnostic mammograms are covered more frequently when medically necessary, although deductibles and copays may apply.

Rachel Christian, writer and researcher for RetireGuide
  • Written by
    Rachel Christian

    Rachel Christian

    Financial Writer and Certified Educator in Personal Finance

    Rachel Christian is a writer and researcher for RetireGuide. She covers annuities, Medicare, life insurance and other important retirement topics. Rachel is a member of the Association for Financial Counseling & Planning Education.

    Read More
  • Edited By
    Matt Mauney
    Matt Mauney, Senior Editor for RetireGuide

    Matt Mauney

    Financial Editor

    Matt Mauney is an award-winning journalist, editor, writer and content strategist with more than 15 years of professional experience working for nationally recognized newspapers and digital brands. He has contributed content for,, The Hill and the American Cancer Society, and he was part of the Orlando Sentinel digital staff that was named a Pulitzer Prize finalist in 2017.

    Read More
  • Reviewed By
    Aflak Chowdhury
    Aflak Chowdhury

    Aflak Chowdhury

    Medicare Expert

    Aflak Chowdhury is a Medicare expert and independent insurance broker specializing in group health insurance. He has worked for major providers including Humana and Principal Financial Group and today works mainly in the small group market.

    Read More
  • Published: March 8, 2021
  • Updated: May 8, 2023
  • 3 min read time
  • This page features 7 Cited Research Articles
Fact Checked
Fact Checked

A licensed insurance professional reviewed this page for accuracy and compliance with the CMS Medicare Communications and Marketing Guidelines (MCMGs) and Medicare Advantage (MA/MAPD) and/or Medicare Prescription Drug Plans (PDP) carriers’ guidelines.

Cite Us
How to Cite's Article

APA Christian, R. (2023, May 8). Does Medicare Cover Mammograms? Retrieved September 20, 2023, from

MLA Christian, Rachel. "Does Medicare Cover Mammograms?", 8 May 2023,

Chicago Christian, Rachel. "Does Medicare Cover Mammograms?" Last modified May 8, 2023.

Why Trust
Why You Can Trust Us

Content created by RetireGuide and sponsored by our partners.

Key Principles

RetireGuide’s mission is to provide seniors with resources that will help them reach important financial decisions that affect their retirement. Our goal is to arm our readers with knowledge that will lead to a healthy and financially sound retirement.

We’re dedicated to providing thoroughly researched Medicare information that guides you toward making the best possible health decisions for you and your family.

RetireGuide LLC has partnerships with Senior Market Sales (SMS) and GoHealth.

Our partners are able to be reached through the phone numbers and/or forms provided on our website.

The content and tools created by RetireGuide adhere to strict Medicare and editorial guidelines to ensure quality and transparency.

Editorial Independence

While the experts from our partners are available to help you navigate various Medicare plans, RetireGuide retains complete editorial control over the information it publishes.

We operate independently from our partners, which allows the award-winning RetireGuide team to provide you with unbiased information.

Visitors can trust our inflexibility regarding our editorial autonomy. We do not allow our partnership to influence RetireGuide’s editorial content whatsoever.

What Is a Mammogram?

A mammogram is an X-ray image of your breasts. Doctors use this preventative service to look for early signs of breast cancer.

Mammograms play a key role in early breast cancer detection and help decrease breast cancer fatalities.

During a mammogram, your breasts are compressed between two plastic plates to spread out the breast tissue.

An X-ray then captures images of your breasts that are displayed on a computer screen. A doctor examines these images to screen for signs of cancer.

Having a mammogram is uncomfortable for many women. But the test only lasts a few moments, and the discomfort is over soon.

Did You Know?
A regular mammogram is the best way for doctors to find breast cancer early — sometimes up to three years before a lump can be felt.

Who Needs a Mammogram?

There is no ideal age to start screening for breast cancer.

Recommendations from many experts and medical organizations differ on when women should begin regular mammograms or how often the tests should be performed

However, there are a few general guidelines.

Many women with an average risk of breast cancer often start getting mammograms around age 40. According to the U.S. Centers for Disease Control and Prevention, 69% of women 40 or older had a mammogram in the last two years.

The American Cancer Society suggests that women with an average risk of cancer undergo annual mammogram screenings at age 45 until age 54, and then follow up with additional screenings once every two years.

Women with a high risk of breast cancer may want to begin screening mammograms at an earlier age.

If you have several high-risk factors, such as a family history of breast cancer or a history of precancerous breast lesions, your doctor may also recommend a magnetic resonance imaging, or MRI, in addition to your mammogram.

Does Medicare Pay for Mammograms?

A regular screening mammogram is just one of many preventive services for women covered by Medicare.

Mammograms are covered under Medicare Part B. Medicare Advantage plans cover screening mammograms as well.

Medicare will cover:
  • One baseline mammogram for women between the ages of 35 and 39.
  • One free screening mammogram every 12 months for women age 40 and older.
  • Diagnostic mammograms more frequently than once a year when medically necessary.

What Types of Mammograms Are Covered by Medicare?

There are two primary types of mammograms Medicare will cover.

Types of Mammograms Covered by Medicare
Screening Mammography
A radiologic procedure for women with no signs or symptoms of breast disease. This test is used for early detection of breast cancer and includes a physician’s interpretation of the results. This test must include at least a two-view exposure (cranio-caudal and a medial lateral oblique view) of each breast to be covered by Medicare.
Diagnostic Mammography
A radiologic procedure for patients with signs and symptoms of breast disease, a family history of breast cancer, or a personal history of benign breast disease. It includes a physician's interpretation of test results.

More specifically, there are conventional, digital and 3D mammograms. Medicare will cover these services so long as your doctor accepts Medicare.

Your Medicare Costs for Mammograms

You pay nothing for a yearly screening mammogram so long as your doctor accepts Medicare.

However, if your doctor recommends more frequent tests, such as a diagnostic mammogram, you will owe 20 percent of the Medicare-approved cost. The Part B deductible — $226 in 2023 — also applies.

A Medicare Supplement plan, or Medigap, can help you cover remaining out-of-pocket costs.

Your costs for a diagnostic mammogram may differ if you have a Medicare Advantage plan, or secondary insurance, such as Medicaid.

Last Modified: May 8, 2023

7 Cited Research Articles

  1. U.S. Centers for Medicare & Medicaid Services. (2022, September 27). 2023 Medicare Parts A and B Premiums and Deductibles 2023 Medicare Part D Income-Related Monthly Adjustment Amounts. Retrieved from
  2. Centers for Disease Control and Prevention. (2022, September 6). Mammography. Retrieved from
  3. Centers for Disease Control and Prevention. (2020, September 14). What is a Mammogram? Retrieved from
  4. Mayo Clinic. (2019, July 31). Mammogram. Retrieved from
  5. American Cancer Society. (2019, May 13). Medicare Coverage for Cancer Prevention and Early Detection. Retrieved from
  6. Centers for Medicare & Medicaid Services. (n.d.). National Coverage Determination (NCD) for Mammograms (220.4). Retrieved from
  7. (n.d.). Mammograms. Retrieved from