When do Medicare and insurance cover DXA bone mineral density tests?

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Right here’s find out how to get insurance coverage protection for a bone mineral density check (DXA).

Medicare protection

Medicare Half B* (Medical Insurance coverage) covers bone density check (DXA) as a part of preventive screening as soon as each 24 months (or extra typically if medically obligatory) should you meet a number of of those circumstances:

  • You’re a lady whose physician determines you’re estrogen poor and in danger for osteoporosis, primarily based in your medical historical past and different findings.
  • Your X-rays present doable osteoporosis, osteopenia, or vertebral fractures.
  • You’re taking prednisone or steroid-type medication or are planning to start this remedy.
  • You’ve been recognized with major hyperparathyroidism.
  • You’re being monitored to see in case your osteoporosis drug remedy is working.

Medicare will cowl DXA for males solely below sure circumstances.

*  Half B covers sure docs’ companies, outpatient care, medical provides, and preventive companies.

Non-Medicare protection

Many insurance coverage suppliers will cowl the check below sure circumstances as a part of their preventive screening advantages. If you’re girl youthful than 65 or a person youthful than 70, any one of many following risk factors places you at larger danger for osteoporosis and fractures. With any certainly one of these components, your insurance coverage firm ought to cowl a DXA. (Be sure you examine together with your insurer about your protection.)

  1. Early menopause (earlier than age 40)
  2. Adults with a previous low-impact fracture
  3. Adults with a disease or condition associated with low bone mass or bone loss
  4. Adults taking medication(s) associated with low bone mass or bone loss
  5. Anybody being handled for low bone mass to watch remedy
  6. Anybody receiving radiation remedy or chemotherapy for breast or prostate cancer
  7. Anybody being thought of for an osteoporosis drug.

In the event you discover you don’t qualify below any of those pointers, use the American Bone Well being Fracture Risk Calculator and decide your danger of fracture for your self. It is possible for you to to print a shade graph that clearly reveals your 10-year danger for a fracture and an inventory of questions to contemplate while you discuss together with your well being care supplier.

Discover a DXA middle

If you search for a middle to get your DXA, discover one with a employees who’ve been educated by the International Society for Clinical Densitometry. Getting your DXA measured by an ISCD-certified technician and skim by an ISCD-certified doctor ensures a top quality end result.

Get your outcomes

FINALLY, just be sure you ask to your DXA report and maintain it together with your different well being data. This report will help you comply with your progress whether or not you stick with the identical physician or transfer sooner or later.



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