Medicare Expands Preventive Benefits

People with Medicare now have two more reasons for using Medicare’s preventive benefits to help keep themselves healthy. As of July 1, Medicare expanded coverage of screening Pap tests from once every three years to once every two years. In addition, a screening colonoscopy now is available to individuals with an average risk of colon cancer. Prior to July 1, the screening colonoscopy was available only to those who were at a high risk of developing cancer of the colon.

Screening tests for cervical and colorectal cancer are important for early detection because these types of cancer are treatable if they are caught early. Screening tests are especially important for seniors, as the risk for cervical and colorectal cancer increases with age.

The Pap test is an effective way to screen against cervical cancer. Women who have gone through menopause or had a hysterectomy may have a continued need for Pap tests and are encouraged to discuss Pap tests with their doctors. In addition to the biannual coverage for those who are not at high risk, Medicare covers Pap smears and a pelvic exam once every 12 months for those who are at high risk for cervical cancer.

The colonoscopy is one of four ways Medicare covers colorectal cancer screenings; the other three covered screenings are fecal occult blood tests, flexible sigmoidoscopy, and barium enema. If a Medicare beneficiary is at high risk for colorectal cancer, a colonoscopy is covered every 24 months. For those who are not at high risk, Medicare covers a colonoscopy once every ten years, but not within 48 months of a screening sigmoidoscopy.

Notice of the changes in Medicare’s preventative benefits will be sent to all people with Medicare. Brochures with information on the benefit change, as well as general Medicare information, are available from 800-MEDICARE (800-633-4227), the national toll-free Medicare helpline. Additional information about Medicare preventive benefits is also available on the Web site www.medicare.gov and the Medicare and You 2001 Handbook.