2027 alertProvidence Medicare Advantage Plans, PacificSource, Regence BlueCross BlueShield of Oregon and 5 other companies end some Medicare Advantage plans in Oregon on December 31. (CMS data) 24 days left in Annual Enrollment (ends Dec. 7).Is your plan ending? →
Questions

Does Medicare cover bone density tests in Oregon?

Yes, if you meet one of Medicare's conditions, such as being a woman your doctor finds is estrogen-deficient and at risk for osteoporosis, or taking steroid drugs. Medicare Part B covers a bone mass measurement once every 24 months, or more often if medically necessary. You pay nothing if your provider accepts assignment.

Who qualifies

Medicare Part B covers a bone mass measurement (often a DEXA scan) if you meet at least one of these conditions, as Medicare.gov lists them:

  • You're a woman whose doctor determines you're estrogen-deficient and at risk for osteoporosis.
  • Your X-rays show possible osteoporosis, osteopenia or vertebral fractures.
  • You're taking prednisone or steroid-type drugs, or plan to start.
  • You've been diagnosed with primary hyperparathyroidism.
  • You're being monitored to see if your osteoporosis drug therapy is working.

Your doctor or other provider orders the test and documents the reason.

How often and what you pay

QuestionAnswer
How oftenOnce every 24 months, or more often if medically necessary
Cost of the testNothing, if the provider accepts assignment
Part B deductibleDoesn't apply to the covered test
Follow-up visits and treatmentUsual Part B cost sharing: 20% after the deductible ($283 in 2026)

If the test is done more often than Medicare allows without a medical reason, or by a provider who doesn't accept assignment, you could owe more. Ask before the scan.

If the test shows osteoporosis

  • Drugs you take at home are covered by Part D plans, according to each plan's formulary. The Part D out-of-pocket cap is $2,100 in 2026.
  • Drugs a provider gives you in a clinic are usually covered by Part B.
  • Home health: Medicare's home health benefit covers an injectable osteoporosis drug for women who meet certain criteria.

Medicare Advantage plans must cover the same test. Medicare Advantage plans may offer extra benefits such as dental, vision, hearing or fitness. Extra benefits vary by plan and county, may have limits and costs, and not every plan offers them. Check a plan's Summary of Benefits or Evidence of Coverage.

Getting tested in Oregon

Hospital imaging departments and outpatient imaging centers across Oregon do bone density scans. In rural counties the nearest scanner may be a drive away, so ask your doctor to order the test with your next visit. Use Medicare's Care Compare to check that a provider is enrolled in Medicare, or you can request a call from a licensed insurance agent to talk through plans whose networks include providers near you.

Sources

More questions in this guide

Part of the guide: Learn Medicare — the Oregon starter guide · All questions

Frequently asked questions

Do men qualify for a Medicare bone density test?

Yes, if they meet a condition other than the estrogen one: X-rays showing possible osteoporosis, osteopenia or vertebral fractures; steroid treatment; primary hyperparathyroidism; or monitoring of osteoporosis drug therapy.

Can I get the test more often than every 2 years?

Medicare.gov says Part B covers it more often than every 24 months when medically necessary, for example when your doctor is checking whether an osteoporosis drug is working.

Does Medicare cover osteoporosis drugs?

Part D plans cover osteoporosis drugs you take at home, according to each plan's formulary. Part B covers drugs a provider gives you in a clinic, and Medicare home health covers an injectable osteoporosis drug for some women who meet certain criteria.

Licensed insurance agents for Oregon

These independent insurance agents are licensed in Oregon and work with Benefits Life, the publisher of this site. When they enroll you in a plan, the agent and Benefits Life may be paid by the insurance company. Learn more.

Berenice Suarez

Berenice Suarez

Accepting new clients

Independent licensed insurance agent in Oregon

Colorado Springs, CO · English, Spanish

Chiara Lewis

Chiara Lewis

5.0 out of 5 stars (4 reviews on MedicareAgents.com)

Accepting new clients

Independent licensed insurance agent in Oregon

Littleton, CO · English

Mark Sims

Mark Sims

5.0 out of 5 stars (1 review on MedicareAgents.com)

Accepting new clients

Independent licensed insurance agent in Oregon

Kent, WA · English

Wendi Schoonover

Wendi Schoonover

Accepting new clients

Independent licensed insurance agent in Oregon

Tulsa, OK

See all Oregon agents →

Request a call from

Only this agent gets your request. No cost to you.

Visit an insurance agency office in Oregon

These offices are independently owned by licensed insurance agents and agencies that work with Benefits Life, the publisher of this site. They are not Benefits Life offices. When they enroll you in a plan, the agency and Benefits Life may be paid by the insurance company. If you already have an agent, contact your agent for help with your plan. Learn more.

Advanced Benefits Insurance

7755 N Highway 101, Suite F13, Gleneden Beach, OR 97388

Hours: By appointment only — please call first.

Wheelchair accessible · Free parking · In-home visits available · Video appointments available

See all Oregon offices →