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For Your Information
| Medicare Recipients ~ Preventive Services |
Bone Mass Measurements Helps to see if you are at risk for broken bones. This service is covered once every 24 months (more often if medically necessary) for people who have certain medical conditions or meet certain criteria. Cardiovascular Screenings Helps detect conditions that may lead to a heart attack or stroke. This service is covered every 5 years to test your cholesterol, lipid, and triglyceride levels. Colon Cancer Screenings (Colorectal) Medicare covers colorectal screening tests to help find pre-cancerous polyps (growths in the colon) so they can be removed before they turn into cancer. Diabetes Screenings Diabetes screenings are covered if you have any of the following risk factors: high blood pressure (hypertension), history of abnormal cholesterol and triglyceride levels (dyslipidemia), obesity, or a history of high blood sugar (glucose). Based on the results of these tests, you may be eligible for up to two diabetes screenings every year. Diabetes Self-Management Training Your doctor or other health care provider must provide a written order. EKG Screenings Medicare covers a one-time screening EKG if you get a referral for it as a result of your one-time "Welcome to Medicare" Preventive Visit. Flu Shots Covered once a flu season in the fall or winter. Glaucoma Tests Covered once every 12 months for people at high risk for glaucoma. Hepatitis B Shots This is covered for people at high or medium risk for Hepatitis B. Your risk for Hepatitis B increases if you have hemophilia,End-Stage Renal Disease (ESRD), or a condition that increases your risk for infection. Other factors may increase your risk for Hepatitis B, so check with your doctor. You pay 20% of the Medicare-approved amount, and the Part B deductible applies. HIV Screenings Medicare covers HIV screening for people with Medicare who are pregnant and people at increased risk for the infection, including anyone who asks for the test. Mammograms Medicare covers screening mammograms once every 12 months for all women with Medicare age 40 and older. Medicare covers one baseline mammogram for women between ages 35–39. Medical Nutrition Therapy Services Medicare may cover medical nutrition therapy and certain related services if you have diabetes or kidney disease, or you have had a kidney transplant in the last 36 months, and your doctor refers you for the service. Pap Tests and Pelvic Exams Medicare covers these screening tests once every 24 months, or once every 12 months for women at high risk, and for women of child-bearing age who have had an exam that indicated cancer or other abnormalities in the past 3 years. Preventive Visits Welcome to Medicare Preventive Visit Medicare covers all the costs for a one-time, comprehensive “Welcome to Medicare” preventive visit during the first 12 months that you have Part B. Yearly “Wellness” Visits If you’ve had Part B for longer than 12 months, you can get a yearly “wellness” visit to develop or update a personalized plan to prevent disease based on your current health and risk factors. This visit is covered once every 12 months. Pneumococcal Shots Most people only need this preventive shot once in their lifetime. Prostate Cancer Screenings Medicare covers a digital rectal exam and Prostate Specific Antigen (PSA) test once every 12 months for all men with Medicare over age 50. Smoking Cessation (counseling to stop smoking) Medicare covers smoking cessation counseling as a preventive service and you'll pay nothing for the counseling sessions. For more information regarding preventive services please click the link below then click on the Manage Your Health tab. Medicare Preventive Services |