Quincy Illinois Medicare: Medicare Preventive Services
Effective January 1, 2011, Medicare beneficiaries no longer pay any out-of-pocket costs for most preventive services.
Changes to out-of-pocket costs for preventive services
The Patient Protection and Affordable Care Act (PPACA), makes changes to the preventive services covered at no cost-sharing for Medicare beneficiaries.
As of Jan. 1, 2011, Medicare beneficiaries are no longer required to pay any out-of-pocket costs for most preventive services. Medicare also covers the cost of an annual wellness visit with a physician.
Medicare covers a number of preventive services at no cost-sharing to the beneficiary, some of these services include:
- Mammograms every 12 months for eligible beneficiaries age 40 and older
- Cardiovascular disease screenings
- Colorectal cancer screening, including flexible sigmoidoscopy or colonoscopy
- Cervical cancer screening, including a Pap smear test and pelvic exam
- Cholesterol and other cardiovascular screenings
- Diabetes screening
- Medical nutrition therapy to help manage diabetes or kidney disease
- Prostate cancer screening
- An annual flu shot and the hepatitis B vaccine
- Bone mass measurement
- Abdominal aortic aneurysm screening to check for a bulging blood vessel
- HIV screening tests for those who are at an increased risk or who request to receive the testMedicare will expand the coverage of additional preventive services at no cost-sharing to the beneficiary as new services, tests or screenings become available and are recommended by the U.S. Preventive Services Task Force.
- Annual Wellness VisitIn addition to an initial preventive visit when becoming a beneficiary, Medicare covers an annual wellness visit with a physician to develop a personalized prevention plan that takes a comprehensive approach to improving your health.Specifically, the wellness visit covers the following services at no cost-sharing to the beneficiary:
- Routine measurements such as height, weight, blood pressure, body-mass index or waist circumference, if appropriate
- Review of medical and family history, including medications and current care by other health care providers
- A personal risk assessment, including any mental health conditions
- A review of functional ability and level of safety, including an assessment of any cognitive impairment and screening for depression
- Set up of a schedule for the patient of Medicare screenings and preventive services for the next 5 to 10 years
- Any other advice or referral services that may help intervene and treat potential health risksSource: www.healthcare.gov
- medicare and you 2013
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