Traditional MedicareCoverageLow impact
Over 65? Here’s What to Know About Breast Cancer Screenings
PacificSource Health Plans·OR · OB-GYN, Radiology, Geriatrics·Provider News
We identified it
Oct 16, 2026
Summary
This is educational content from PacificSource about Medicare coverage for mammograms in women over 65, emphasizing that Original Medicare Part B covers screening mammograms once every 12 months for eligible women ages 40 and older at no cost when providers accept Medicare assignment. No billing policy, coverage criteria, or reimbursement rates have changed; this is informational guidance aligned with existing U.S. Preventive Services Task Force recommendations.
Action Required
No action required. This is educational content from PacificSource about existing Medicare coverage for mammograms. No new billing codes, prior authorization requirements, or coverage changes are introduced. Billing teams should note this as reference material for patient inquiries about mammogram coverage, but no workflow modifications are necessary.