Medicare and PAP Coverage
Medicare will only pay for a PAP smear every two (2) years. If you have a second insurance, the lab will automatically bill your secondary insurance for payment. You may, however, be responsible for all or part of the charge.
Medicare will cover if you have any of the following high risk factors:
- Onset of sexual activity under 16 years of age
- Five (5) or more sexual partners in a lifetime
- History of sexually transmitted disease (including HIV infection)
- Fewer than three (3) negative PAP smears within the previous seven (7) years
- Diethylstilbestrol (DES) exposed daughters of women who took DES during pregnancy.
Our recommendation is that a thin prep PAP test be obtained and the sample be sent to LABCORP. The cost for the test is more than $100. You will be responsible for paying the bill for the initial PAP test if insurance denies coverage.
If the results show abnormalities, a reflex for HPV will be performed. This would be considered high risk; therefore, Medicare should cover the test.
If you any questions, please ask your provider.
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I do _____ / I do not _____ have any risk factors.
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