Does Medicare cover breast cancer?

Medicare covers breast cancer screening, testing, and treatment. Your Medicare coverage for breast cancer may involved Medicare Part A or Part B depending on the type of treatment. Medicare Part D will also cover prescriptions for breast cancer treatment. You may have out-of-pocket costs for breast cancer treatment with Medicare, but a Medicare Supplement plan can help.

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D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

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Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Jan 21, 2021

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The Highlights

  • Medicare covers breast cancer screening, testing, and treatment
  • Breast cancer prescription drugs are covered under Part D
  • You may have to pay deductibles and coinsurance amounts for breast cancer treatment

Does Medicare cover breast cancer? Yes, Medicare will cover breast cancer testing and treatment. Your coverage may come from Part A and Part B, depending on the type of treatment needed. Some coverage will also be under Part D for prescription drugs. Although breast cancer treatment is subject to Medicare deductibles and coinsurance, a Medicare Supplement plan can cover some or all of those out-of-pocket costs. If you have a Medicare Advantage health insurance plan, your coverage levels will vary.

If you’d like to compare Medicare Advantage or Supplement plans to see how you can get the best Medicare coverage for breast cancer, enter your ZIP code above for free quotes.

What does Medicare cover for breast cancer?

Medicare covers screening, testing, and treatment for breast cancer. This includes coverage for screening mammography and a diagnostic mammogram when needed as well, according to Medicare.gov. Medicare will also cover cancer treatment including chemotherapy. Testing and treatment are covered by Medicare Part B. Coverage under Medicare Part A is available for inpatient hospital procedures such as mastectomy.

As with all procedures that are covered by Medicare, it must be medically necessary and prescribed by your doctor.

Medicare Part D will pay for at-home cancer treatment drugs as long as they are part of the Medicare formulary.

For those with a Medicare Advantage plan, Parts A and B are combined and coverage levels vary. Breast cancer treatment will still be covered by your Advantage plan, but specifics may vary.

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What is the cost of breast cancer treatment with Medicare?

Both Medicare Part A and Part B have deductibles that must be met, and there is a health care coinsurance amount for Medicare Part B of 20 percent How much that means to you depends on the type of treatment you need and how advanced the breast cancer is at the time it’s diagnosed. It also depends on whether or not you have Medicare Supplement insurance, which can cover all of the out-of-pocket costs with the right plan.

Medicare Advantage plans have a variety of deductibles and coinsurance levels, so how much you will pay for breast cancer treatment will depend on the plan you have chosen. Contact your Medicare Advantage provider to find out what you can expect to pay.

Does Medicare cover breast cancer? The Bottom Line

Medicare covers breast cancer screenings, tests, and treatment. You may have out of pocket costs for deductibles and coinsurance, but a Medicare Supplement plan can relieve that financial burden.

To compare rates for Medicare Supplement insurance and avoid the costs Medicare doesn’t cover for breast cancer, enter your ZIP code for free quotes.

 

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