Vincent Thrasher
Founder at - over65 insurance optionsVincent Thrasher, the pioneering founder of Over65InsuranceOptions, has an impressive 20-year tenure in the insurance industry. His in-depth expertise spans the entire spectrum of senior...Read more
As we age, our bodies change in many ways, and one of the most significant changes is in our bone density. For those over the age of 65, osteoporosis is a significant concern, and a DEXA scan is an important tool in identifying and monitoring this condition. But, does Medicare cover this crucial medical test?
The answer is yes, Medicare does cover DEXA scans, but there are certain criteria that must be met. In this article, we will explore what a DEXA scan is, why it is essential for seniors, and how Medicare covers this medical test. So, let’s dive in and learn more about the benefits of DEXA scans and how Medicare can help.
Yes, Medicare covers Dexa scans once every 24 months (or more frequently if medically necessary) for beneficiaries who meet certain criteria. These criteria include being a postmenopausal woman under the age of 65, a woman with estrogen deficiency, or a man with clinical conditions associated with bone loss. Medicare Part B covers 80% of the cost of the Dexa scan, while the remaining 20% is typically covered by a supplemental insurance policy or paid out of pocket.
Does Medicare Cover Dexa Scan?
If you’re over 65 and have been diagnosed with osteoporosis, you may be wondering if Medicare covers a Dexa scan. Dexa stands for dual-energy x-ray absorptiometry, and it is a diagnostic test that measures bone density. In this article, we’ll explore whether Medicare covers Dexa scans and what you need to know.
What is a Dexa Scan?
A Dexa scan is a non-invasive test that measures bone density in your spine, hip, or wrist. The test uses X-rays to measure the amount of calcium and other minerals in your bones. Dexa scans are used to diagnose osteoporosis, a condition that causes bones to become weak and brittle. The test is painless and takes only a few minutes to complete.
Does Medicare Cover Dexa Scans?
Yes, Medicare covers Dexa scans. In fact, Medicare covers one Dexa scan every two years for people who are at risk for osteoporosis. If you’ve been diagnosed with osteoporosis, Medicare will cover a Dexa scan once a year. You don’t need to meet any deductible before Medicare covers the cost of the test.
What are the Benefits of a Dexa Scan?
Dexa scans are an important tool for diagnosing osteoporosis and assessing your risk for fractures. The test is quick, painless, and non-invasive. By measuring bone density, Dexa scans can help your doctor determine the best course of treatment for you.
How Does a Dexa Scan Compare to Other Tests?
Other tests that measure bone density include ultrasound and CT scans. However, Dexa scans are the most accurate and widely used test for diagnosing osteoporosis. Dexa scans are also less expensive and expose you to less radiation than CT scans.
What Do I Need to Do to Get a Dexa Scan?
To get a Dexa scan, you’ll need a referral from your doctor. Your doctor will determine if you’re at risk for osteoporosis and if a Dexa scan is necessary. If your doctor recommends a Dexa scan, Medicare will cover the cost of the test.
What Should I Expect During a Dexa Scan?
During a Dexa scan, you’ll lie on a table while a machine scans your bones. The scan is painless and takes only a few minutes to complete. You may need to wear loose-fitting clothing and remove any metal objects, such as jewelry or belts, before the test.
What Are the Risks of a Dexa Scan?
Dexa scans are considered safe and have few risks. The test exposes you to a small amount of radiation, but the amount is much less than a standard X-ray. The test is not recommended for pregnant women.
What Happens After a Dexa Scan?
After a Dexa scan, your doctor will review the results and determine if you have osteoporosis or are at risk for fractures. If you have osteoporosis, your doctor may recommend medication, lifestyle changes, and other treatments to help strengthen your bones.
Conclusion
In conclusion, Medicare does cover Dexa scans for people who are at risk for osteoporosis. The test is an important tool for diagnosing osteoporosis and assessing your risk for fractures. If you’re over 65 and have been diagnosed with osteoporosis, talk to your doctor about getting a Dexa scan.
Contents
Frequently Asked Questions
Does Medicare Cover Dexa Scan?
Yes, Medicare covers Dexa scans if your doctor orders it to screen for osteoporosis or to monitor an existing condition. Medicare Part B covers the cost of Dexa scans once every two years for people who meet certain criteria. You must be a woman over 65 or a man over 70 with a higher risk of osteoporosis, or have a medical condition that affects bone density, such as hyperparathyroidism.
Dexa scans are also covered if you are taking glucocorticoid steroids, such as prednisone, for three or more months. You must also have a history of fractures or other risk factors for osteoporosis. If you meet these criteria, Medicare will cover the cost of the scan as long as it is ordered by a doctor who accepts Medicare assignment.
What is a Dexa Scan?
A Dexa scan is a special type of X-ray that measures bone density. It is used to diagnose osteoporosis and monitor changes in bone density over time. Dexa scans are painless and non-invasive, and they use very low levels of radiation. The test takes only a few minutes to complete and is usually done on the lower spine and hip.
During the test, you lie still on a table while a machine scans your bones. The results of the scan are reported as a T-score, which compares your bone density to that of a healthy young adult. A T-score of -1.0 or higher is considered normal, while a T-score between -1.0 and -2.5 indicates low bone density, or osteopenia. A T-score of -2.5 or lower indicates osteoporosis.
How often can you get a Dexa Scan?
If you meet the criteria for Medicare coverage, you can get a Dexa scan once every two years. However, your doctor may recommend more frequent scans if you have a history of fractures or other risk factors for osteoporosis. If you are taking glucocorticoid steroids, such as prednisone, your doctor may order more frequent scans to monitor changes in your bone density.
What is the cost of a Dexa Scan?
The cost of a Dexa scan varies depending on where you live and where you have the test done. Medicare Part B covers the cost of Dexa scans once every two years if you meet the criteria for coverage. If you have a Medicare Advantage plan, the cost may be different depending on the plan. If you have private insurance, the cost may also vary depending on your plan and deductible.
If you do not have insurance or if your insurance does not cover the cost of a Dexa scan, you can expect to pay anywhere from $100 to $250 for the test. Some imaging centers and clinics offer discounted rates for cash-paying patients.
Is a Dexa Scan Safe?
Yes, a Dexa scan is generally considered safe. The amount of radiation used is very low, and the risk of developing cancer from the radiation exposure is extremely small. However, if you are pregnant or think you may be pregnant, you should not have a Dexa scan because of the potential risk to the fetus.
Some people may experience discomfort or pain during the test if they have back problems or are unable to lie still for the duration of the scan. If you have any concerns about the safety or discomfort of a Dexa scan, talk to your doctor before the test.
In conclusion, Medicare does cover Dexa scans for certain individuals. This diagnostic test is used to measure bone density and is particularly important for women over the age of 65 who are at a higher risk for osteoporosis. However, it is important to note that there may be certain restrictions and limitations on coverage depending on individual circumstances.
If you are unsure about your coverage for a Dexa scan, it is important to speak with your healthcare provider and Medicare representative. They can provide more information on the specific requirements for coverage and any additional out-of-pocket costs that may be associated with the test.
Overall, taking care of your bone health is crucial for living a healthy and active lifestyle as you age. With Medicare coverage for Dexa scans, individuals can take proactive steps towards preventing and managing bone-related conditions.
Vincent Thrasher, the pioneering founder of Over65InsuranceOptions, has an impressive 20-year tenure in the insurance industry. His in-depth expertise spans the entire spectrum of senior insurance, encompassing Medicare, Medigap, long-term care insurance, life insurance, and dental, vision, and hearing insurance. Vincent's unwavering passion for guiding seniors through the intricate insurance landscape and crafting customized solutions to address their individual needs has earned Over65InsuranceOptions an esteemed reputation as a dependable ally for seniors nationwide.
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