Medicare coverage
Does Medicare Cover STI Screening?
Yes. Medicare Part B (Medical Insurance) covers STI screenings and behavioral counseling sessions if you’re eligible.
Yes: Part B
Source: Medicare.gov, Sexually transmitted infection (STI) screenings & counseling, checked October 23, 2026.
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Coverage at a glance
- Covered?
- Yes
- Which part
- Part B
- What you pay
- You pay nothing if your provider accepts assignment.
- Part B deductible 2026
- $283 a year (CMS). Part B premium $202.90 a month.
- Medicare.gov page
- Sexually transmitted infection (STI) screenings & counseling
Description
STI screenings and counseling include confidential medical tests and discussions with a doctor or other health care provider to find, prevent, and treat infections spread through sexual contact.
From Medicare.gov, checked October 23, 2026.
Coverage details
Part B covers:
- STI screenings for chlamydia, gonorrhea, syphilis, and/or hepatitis B.
- Up to 2 face-to-face, high-intensity behavioral counseling sessions. Each session can be 20-30 minutes long.
From Medicare.gov, checked October 23, 2026.
Who's eligible
- You can get STI screenings if you’re pregnant or at increased risk for an STI.
- You can get behavioral counseling sessions if you’re a sexually active adult at increased risk for an STI.
From Medicare.gov, checked October 23, 2026.
Provider requirements
Your health care provider must order the screening or refer you for behavioral counseling.
From Medicare.gov, checked October 23, 2026.
Costs
You pay nothing if your primary care doctor or provider accepts assignment.
From Medicare.gov, checked October 23, 2026.
How often
- One STI screening every 12 months, or at certain times during pregnancy.
- Up to 2 behavioral counseling sessions a year.
From Medicare.gov, checked October 23, 2026.
Facility
Medicare will only cover counseling sessions with a provider in a primary care setting (like a doctor’s office). Medicare won't cover counseling as a preventive service in an inpatient setting (like a skilled nursing facility).
From Medicare.gov, checked October 23, 2026.
National Coverage Determinations
- NCD 210.10: Screening for Sexually Transmitted Infections (STIs) and High-Intensity Behavioral Counseling (HIBC) to Prevent STIs
Version 1, effective November 8, 2011
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.
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Questions
Does Medicare Cover STI Screening?
Yes. Medicare Part B (Medical Insurance) covers STI screenings and behavioral counseling sessions if you’re eligible.
Which part of Medicare covers STI Screening?
Medicare.gov lists Sexually transmitted infection (STI) screenings & counseling under Part B.
How much do you pay for STI Screening with Medicare?
Per Medicare.gov: You pay nothing if your provider accepts assignment.
Is there a national coverage determination for STI Screening?
Yes. CMS NCD 210.10, Screening for Sexually Transmitted Infections (STIs) and High-Intensity Behavioral Counseling (HIBC) to Prevent STIs, version 1, effective 2011-11-08.
Does a Medicare Advantage plan cover STI 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 STI Screening?
Yes. Medicare Part B (Medical Insurance) covers STI screenings and behavioral counseling sessions if you’re eligible.
Checked against Medicare.gov 2026-10-23. Source: Rivvi