People With Medicare

Prostate Cancer Screening

What it is:

This cancer affects the prostate, which is the gland below a man’s bladder that produces fluid for semen.

A rectal exam and a blood test called a Prostate Specific Antigen (PSA) test can find this cancer.  Medicare covers both of these.

Why it is important:

Prostate cancer is the second most common type of cancer in American men. Screening can help doctors find and treat cancer early.

Who is covered:

Men age 50 or older are covered for this screening.

How often is it covered:

Both the digital rectal exam and the PSA test are covered once every 12 months. Ask your doctor how to get this screening.

What you pay:

You pay nothing for the PSA test. However:

  • If you have Original Medicare and see a doctor who "accepts assignment," you pay 20% of the amount Medicare approves for the digital rectal exam and any remaining part of your Medicare Part B annual deductible ($147 in 2013). 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, check with your plan to find out specific costs for the digital rectal exam. Copayments and/or a deductible may apply.

Learn more about Prostate Cancer Screening on Medicare.gov

BACK: Preventive Services


Information on this web site was compiled from approved materials of the Centers for Medicare and Medicaid Services.