Q: I know that Medicare covers some services to keep me healthy, but what are they? Does that really mean I’ll pay nothing?
A: Yes, many preventive services are covered for people with Medicare as long as you get the services from a doctor or other qualified health care provider who accepts Medicare assignment.
You can get a “Welcome to Medicare” doctor’s visit during the first 12 months that you have Medicare. This includes a review of your medical and social history related to your health and education and counseling about preventive services, including certain screenings, shots, and referrals for other care if needed.
Medicare also covers a Yearly “Wellness” visit. You can get this visit if you’ve had Part B for longer than 12 months, and it’s covered every 12 months.
Be sure to tell the doctor’s office exactly what type of visit you are scheduling when you make the appointment.
The following are preventive services typically covered by Medicare at no cost to you:
• Welcome to Medicare Visit
•Yearly Wellness Visit
•Pap Test and Pelvic Exams
•Alcohol Misuse Screening and Counseling
•Hepatitis B Shots
•Tobacco Use Cessation Counseling
•Abdominal Aortic Aneurysm Screening
•Sexually Transmitted Infections Screening
•Bone Mass Measurements
Cardiovascular Screenings: tests covered for cholesterol, lipid, and triglyceride levels every five years.
Colorectal Cancer Screenings: If you’re 50 or older, or are at high risk for colorectal cancer, one or more of these tests covered: fecal occult blood test, flexible sigmoidoscopy, screening colonoscopy, and barium enema.
Cardiovascular Disease (Behavioral Therapy): one visit per year with your primary doctor covered to help lower your risk for cardiovascular disease.
Medical Nutrition Therapy Services: covered along with certain related services if you have diabetes or kidney disease, or you have had a kidney transplant in the last 36 months, and you’re referred by your medical provider.
The following are preventive services are typically covered by Medicare but will require coinsurance and/or deductible:
• Prostate Cancer Screenings
• Glaucoma Tests
• Depression Screenings
Diabetes Self-Management Training: covered for people – with diabetes with a written order from a doctor or other medical qualified health care provider.
If you have questions about Medicare coverage for preventive services, or anything else related to Medicare, contact SHIP for help. Call 1-800-452-4800, or visit www.medicare.in.gov.
SHIP is a free, unbiased counseling program provided by the Indiana State Department of Insurance. To schedule an appointment with SHIP, call 1-800-452-4800, TTY 1-866-846-0139 or visit www.Medicare.lN.gov to find your local site.
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