People With Medicare
Bone Mass Measurement
What it is:
Bone mass measurements help your doctor tell if you are at risk for a broken bone (fracture). A disease that makes your bones weak can make them break more easily. This disease is called osteoporosis.
A simple scan can tell how dense your bones are. The test is painless, quick and accurate.
Why the screening is important:
This test can find osteoporosis before a bone breaks, and it can predict your chances of breaking a bone in the future. The results will help you and your doctor choose the best way to keep your bones strong.
Who is covered:
People at risk for osteoporosis are covered for this screening. Your risk for osteoporosis is higher if you:
- are age 50 or older
- are a woman
- have a family history of broken bones
- have a personal history of broken bones
- are White or Asian
- are small-boned
- have low body weight (less than about 127 pounds)
- smoke or drink a lot
- have a low-calcium diet
How often is it covered:
The screening is covered once every 24 months (more often if medically necessary). Ask your doctor how to get this screening.
What you pay:
You pay nothing for cost of this service if you have Original Medicare and you see a doctor who "accepts assignment." Doctors who accept assignment agree to accept the amount that Medicare will pay for a visit or service (called the Medicare-approved amount) as payment in full.
If you are in a Medicare Advantage plan, the plan cannot charge you for this service as long as you see an "in-network" provider, meaning a doctor who has an agreement to treat people who belong to the plan. If you use a provider outside your plan's network, it may cost you money.
Learn more about Bone Mass Measurement on Medicare.gov.
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