Skin Cancer Screenings: Understanding Medicare Coverage
Erika Gasca

As Summer Approaches, Be Sun Smart

As the warmth of summer draws near, many of us look forward to spending more time outdoors. With increased sun exposure comes the heightened risk of skin cancer, making vigilance crucial, especially for those over 65. While skin cancer is common, early detection significantly improves outcomes. Fortunately, Medicare provides coverage for many essential detection and treatment services, offering the peace of mind and access to care you deserve.

Medicare and Your Skin Health

Medicare covers several medically necessary services for skin cancer detection and treatment, including:
  • Doctor visits if there’s a suspected case.
  • Biopsies to assess suspicious skin lesions.
  • Related treatment procedures.
It’s important to remember that cost-sharing is applicable. Typically, after meeting a deductible, patients are responsible for a portion of the costs.

Annual Wellness Visits: A Preventive Opportunity

Medicare covers preventive care discussions during your yearly wellness visit. This visit is a great time to discuss any skin concerns, so don’t hesitate to bring them up with your doctor.

The Role of Self-Checks

While routine full-body skin exams aren't covered unless your doctor identifies a suspicious lesion, regular self-checks at home are crucial. Keep an eye on any changes and report them promptly to your physician.

Cosmetic and Other Exclusions

Medicare doesn't cover cosmetic procedures, like the removal of benign moles or skin tags. Additionally, Original Medicare does not cover sunscreen or preventive skincare products. However, some Medicare Advantage plans might offer additional benefits. It's a good idea to check your specific plan's details for this information.

Stay Informed, Stay Proactive

Experimental or non-FDA-approved treatments are not included under Medicare coverage. Staying proactive about your skin health is key. If you have questions about what Medicare covers, consult with a Medicare advisor or contact your plan provider to clarify your specific plan's details. Stay vigilant and informed to maintain your skin’s health, especially during sun-rich summer days!