@chippydoo
I am lucky to have both Medicare and FEP BCBS which covers this.

Several years ago my Mayo PCP said he wanted to increase my PSA test to every 3 months because he saw an ongoing increase in my PSA. He said Mayo had for years been making the PSA test a patient decision.

He then said to me (again several years ago now) we are seeing an dramatic increase in stage 4 prostate cancer now and we started studying why the trend up. He said they found the increase started at same time they had moved to making PSA test patient do/or don't. He said Mayo believed but reducing the PSA test (age and frequency) they were not catching prostate cancer in early stages within prostate which he says had a high cure rate and now having to deal with it at stage 4.

I am glad I has such an outstanding PCP and decided to test me more often and monitor the results very carefully. Thus my cancer was caught very early per my urologist and my R/Os.