Breast Cancer Awareness Month is a good reminder to check in on your health. But as you get older, you may wonder: Do I still need regular mammograms?
The answer depends on your age, personal health and medical history. Knowing when to get screened, what your insurance may cover and where to turn for help can make it easier to take the next step.
Do you still need mammograms after age 65?
For women ages 65–74, the U.S. Preventive Services Task Force recommends a mammogram every two years for those at average risk.
For women 75 and older, the guidance is less clear. That’s because there isn’t enough research to determine whether the benefits of routine screening outweigh the potential risks. Your healthcare provider can help you decide what’s right for you based on your overall health, family history and personal preferences.
Does Medicare cover mammograms?
Yes! Original Medicare Part B covers screening mammograms once every 12 months for eligible women ages 40 and older, generally at no cost when the provider accepts Medicare assignment.
Coverage may differ depending on your health plan and whether you’re receiving a routine screening or a diagnostic mammogram. Check with your insurance provider before scheduling if you have questions about costs.
What if getting a mammogram isn’t easy?
For some Central Oregon residents, accessing preventive care can mean traveling long distances, finding transportation or navigating appointment availability.
If you’re overdue for a screening, consider these simple steps:
- Talk with your healthcare provider. Ask whether you’re due for a mammogram and how often you should be screened.
- Ask about convenient locations. Your provider or health plan may be able to help identify screening facilities closer to home.
- Check your coverage. Understanding your benefits ahead of time can help avoid unexpected costs.
- Don’t put off concerns. If you notice a new lump or other breast changes, contact your healthcare provider rather than waiting for your next routine screening.
Helping Central Oregon communities access care
Access to preventive care shouldn’t depend on where you live.
As a Northwest not-for-profit health insurer, PacificSource works alongside local healthcare providers and community organizations to promote preventive care and help address barriers that can make screenings harder to access.
That commitment extends beyond Breast Cancer Awareness Month. By listening to the needs of local communities and supporting efforts to improve access to care, PacificSource is working to help more Oregonians get the preventive services they need.
Ready to take the next step?
Not sure when your last mammogram was or where to schedule one? Start by talking with your healthcare provider about whether you’re due for a screening.
If you’re a PacificSource member, you can also use the Find a Doctor tool to search for healthcare providers in your area. Be sure to confirm your provider’s network participation and screening coverage before scheduling.