10/19/2026
October is Breast Cancer Awareness Month — a reminder that early detection saves lives. Mammograms and screenings are key.
- Medicare: Original Medicare (Part B) covers a screening mammogram once every 12 months at no cost when your provider accepts Medicare. Diagnostic mammograms and follow-up imaging are covered when medically necessary but may have cost-sharing; Medicare Advantage plans follow at least the same benefits but can have different network rules and costs.
- ACA/Marketplace & most employer plans: Screening mammograms are generally covered as a preventive service with no out-of-pocket cost. Diagnostic imaging or additional tests may have copays or deductibles depending on your plan. If you’re considered high-risk, earlier or more frequent screening may be covered — ask your doctor.
How to check if an imaging center is in-network:
1. Search your insurer’s online provider directory for the facility name and location.
2. Call your insurance customer service and provide the facility’s name and address to confirm network status and any estimated costs.
3. Call the imaging center and ask if they accept your specific plan and whether they bill as in-network.
4. For Medicare, use Medicare.gov’s provider lookup (Care Compare) or call 1-800-MEDICARE to confirm participation.
If you’re due for a screening, contact your doctor or insurer to confirm coverage and schedule an appointment.
