Medicare coverage

Does Medicare Cover Prostate Cancer Screening?

Yes. Medicare Part B (Medical Insurance) covers digital rectal exams and prostate-specific antigen (PSA) blood tests if you’re eligible.

Yes: Part B

Source: Medicare.gov, Prostate cancer screenings, checked October 23, 2026.

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Coverage at a glance

Covered?
Yes
Which part
Part B
How often
Once every 12 months
Type
Preventive service
Part B deductible 2026
$283 a year (CMS). Part B premium $202.90 a month.
Medicare.gov page
Prostate cancer screenings

Description

Prostate cancer screenings check for cancer in the prostate, a gland in the male reproductive system. Your doctor or other health care provider may find prostate cancer during a digital rectal exam, or through a test that checks the amount of prostate specific antigen (PSA) in your blood.

From Medicare.gov, checked October 23, 2026.

Who's eligible

If you’re a man over 50 (starting the day after your 50th birthday).

From Medicare.gov, checked October 23, 2026.

Costs

  • Digital rectal exams: After you meet the Part B deductible, you pay 20% of the Medicare-approved amount for the digital rectal exam and for your doctor’s services related to the exam. In a hospital outpatient setting, you also pay a separate hospital visit copayment.
  • PSA blood tests: You pay nothing for the PSA blood test. If you get the test from a doctor or other health care provider that doesn’t accept assignment, you may have to pay an additional fee for your doctor’s services, but not for the test itself.

From Medicare.gov, checked October 23, 2026.

How often

Once every 12 months.

From Medicare.gov, checked October 23, 2026.

National Coverage Determinations

An NCD is the national rule CMS writes for when Medicare pays for an item or service. Local coverage determinations (LCDs) from each Medicare contractor can add detail. Read the NCD text on the CMS site.

Related pages

Questions

Does Medicare Cover Prostate Cancer Screening?

Yes. Medicare Part B (Medical Insurance) covers digital rectal exams and prostate-specific antigen (PSA) blood tests if you’re eligible.

Which part of Medicare covers Prostate Cancer Screening?

Medicare.gov lists Prostate cancer screenings under Part B.

Is there a national coverage determination for Prostate Cancer Screening?

Yes. CMS NCD 210.1, Prostate Cancer Screening Tests, version 2, effective 2006-06-19.

Does a Medicare Advantage plan cover Prostate Cancer Screening?

Medicare Advantage plans must cover what Original Medicare covers and some offer extra benefits. Check the plan's Evidence of Coverage. Rivvi does not recommend plans.

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Does Medicare Cover Prostate Cancer Screening?

Yes. Medicare Part B (Medical Insurance) covers digital rectal exams and prostate-specific antigen (PSA) blood tests if you’re eligible.

Checked against Medicare.gov 2026-10-23. Source: Rivvi

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