Short answer up top, then the exact rule. Here's what Original Medicare does and doesn't cover for Pap tests and pelvic exams in 2026 — and where a Medicare Advantage plan can fill the gap.
Quick answer: Yes — free. Part B covers a Pap test and pelvic exam (including a clinical breast exam) once every 24 months in most cases — once every 12 months if you're at high risk. You pay $0 when the provider accepts assignment.
Medicare Advantage plans must cover the same screening at $0 in-network — it's a required preventive benefit, not an extra. What varies is the network: going to an out-of-network OB-GYN is what turns a free screening into a bill, so confirm the provider is in the plan before the visit.
Women on Medicare — and the agents who field the "is my well-woman visit covered?" call every January. The distinction that trips people up: the screening Pap and pelvic exam are $0 on Medicare's schedule, but a visit ordered to investigate a symptom or follow up an abnormal result is diagnostic and follows normal Part B cost-sharing.
See the current Part A, Part B, and Part D numbers — premiums, deductibles, and the new drug cap — in one place. Free, no signup.
See 2026 Medicare Costs →Once every 24 months for most people. Once every 12 months if you're at high risk for cervical or vaginal cancer, or if you're of child-bearing age and had an abnormal Pap test in the past 36 months. You pay $0 when your provider accepts assignment.
Yes. Part B covers an HPV test done as part of a Pap test once every 5 years if you're between 30 and 65 and don't have HPV symptoms. Like the Pap test itself, it's $0 when your provider accepts assignment.
Coverage gaps in Original Medicare — like Pap tests and pelvic exams — are exactly what a Medicare Advantage or Medigap plan is meant to fill. Our free Enrollment Finder shows the window you can switch in, and the guide library walks through the trade-offs. This page is free to share with anyone weighing their options.
Open the Enrollment Finder →This answer is based on U.S. government Medicare coverage rules: