Original Medicare (Parts A & B): Prostate Cancer Screenings (PSA Test)

Annual blood test and digital exam for prostate abnormalities in all men 50 and older. Are you using the whole fist there, doc?

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Cost
$0 for PSA test; 20% for DRE (after Part B deductible is met)
Prior Authorization Required
No
Provider Referral or Order Required
No

How To Receive

Details on how to apply

  1. Request a provider conduct a prostate cancer screening (can be combined with another visit or scheduled as a separate visit).

    • The provider may automatically schedule the annual screenings for males over 50, as part of a routine visit.

  2. Attend the appointment and complete the screenings.

  3. Engage in any follow-up recommended by the provider.

For more information on Medicare benefits and coverage, call 1-800-MEDICARE (1-800-633-4227) or visit the Medicare Benefits Website. TTY users, call 1-877-486-2048.

Availability
Once every 12 months
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A yearly exam for all men 50 years and older, regardless of risk, intended for early detection of precancerous and cancerous conditions in the prostate. The exam can also detect prostate enlargement, which is frequently benign (non-cancerous), but should be addressed to avoid discomfort and other complications. Other than skin cancer, prostate cancer is the most common cancer in American men. Thankfully, death from prostate cancer is rare because of early detection and intervention.

While there are factors that increase the risk for prostate cancer—older age (50+), genetics and family history, race and ethnicity (especially African American and Caribbean men of African ancestry), geography (especially the U.S.), and others—prostate exams are now recommended annually for all men after age 50, regardless of factors that have been associated with increased or decreased risk.

Prostate exams

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