PREVENTIVE SERVICES

Once after “Welcome to Medicare” initial exam if at risk

Covered at 100%

Alcohol Misuse Screening and Counseling

Once per year

Covered at 100%

Annual Wellness Visit (Not a full physical prevention planning

Every 12 months if more than twelve months after “Welcome to Medicare”

Covered at 100%

Bone Mass

Measurement

Once in 24 months
(unless medically necessary)

Covered at 100%

Cardiovascular Disease

(Behavioral Therapy)

Once per year

Covered at 100%

Cardiovascular

Screenings

Every 5 years if no apparent symptoms

Covered at 100%

Fecal Occult Blood Test

Every 12 months if 50+

Covered at 100%

Flexible Sigmoidoscopy

48 months or 120 months after previous screening if not high risk and 50+

Covered at 100%

Colonoscopy

120 months (or 24 months if high risk)

Covered at 100%

Barium Enema

48 months (or 24 months if high risk) if used instead of a colonoscopy

You pay 20% of the Medicare-Approved
Amount after meeting the Part B deductible.

Depression Screening

Once per year

Covered at 100%

Diabetes Screenings

12 months (6 months if pre-diabetic)

Covered at 100%

Diabetes
Self-Management Training

With MD order or referral

You pay 20% of the Medicare-Approved
Amount after meeting the Part B deductible.

Flu-Shots

Once per season

Covered at 100%

Glaucoma Tests

Every 12 months if at high risk
(eg. diabetic or family history)

You pay 20% of the Medicare-Approved
Amount after meeting the Part B deductible.

Hepatitis B Shots

If medium or high risks – 3 injections

Covered at 100%

Hepatitis C Screening

Once-in-a-lifetime if born from 1945 to 1965 or annually if high risk

Covered at 100%

HIV Screening

Talk to your primary care physician for more information

Covered at 100%

Mammogram (screening)

Once a year after age 40

Covered at 100%

Low-Dose CT (LDCT) Lung Cancer Screening

Once per year if high risk

Covered at 100%

Medical Nutrition

Therapy Services

With MD referral
(3 hours counseling first year)

You pay 20% of the Medicare-Approved
Amount after meeting the Part B deductible.

Obesity Screening
and Counseling

Talk to your primary care physician for more information

Covered at 100%

Pap Test and Pelvic Exam(w/ breast exam)

24 months (or 12 months if high risk)

Covered at 100%

Physical Exam

“Welcome to Medicare”

Within first 12 months on Medicare B

Covered at 100%

Pneumococcal Shot

Usually once – more if MD approves

Covered at 100%

Prostate Cancer Screenings

(Digital Rectal Exam and PSA Test)

Digital Rectal Exam: and free PSA Test every 12 month for men over 50

You pay 20% of the Medicare-Approved
Amount after meeting the Part B deductible.

Sexually Transmitted Infections Screening and Counseling

Once per year and 2 counseling sessions

Covered at 100%

Shingles Vaccine

(Herpes Zoster)

Once – May need to bring from pharmacy to get cheapest cost because covered by Part D

The shingles vaccination will only be covered
if you have a Medicare Part D Prescription
Drug Plan. The amount you pay for the vaccination varies by plan. Medicare part B does NOT cover the shingles vaccine.

Tobacco Use Cessation Counseling

8 visits in a 12 month period

You pay 20% of the Medicare-Approved Amount
after meeting the Part B deductible.