What This Means for You
Starting January 1, 2011, you will pay nothing for many preventive services if you get the services from a doctor or other health care provider who accepts assignment. The services that qualify are listed below.
- Yearly wellness exam. If you are new to Texas Medicare, your “Welcome to Medicare” physical exam is now covered without cost sharing during your first 12 months of Part B coverage. This exam is a one-time review of your health as well as education and counseling about preventive services and other care. If you’ve had Part B for longer than 12 months, you can get a yearly wellness visit to develop or update a personalized prevention plan based on your current health and risk factors.
- Tobacco use cessation counseling. This benefit is now considered a covered preventive service, whether or not you have been diagnosed with an illness caused or complicated by tobacco use. While still a covered service, the coinsurance and deductible will apply if you have already been diagnosed with a tobacco related illness.
- No more Medicare Part B deductible or copayment for these screenings if certain coverage criteria apply
- Bone mass measurement
- Cervical cancer screening, including Pap smear tests and pelvic exams.
- Cholesterol and other cardiovascular screenings
- Colorectal cancer screening (except for barium enemas.)
- Diabetes screening
- Flu shot, pneumonia shot, and the hepatitis B shot
- HIV screening for people at increased risk or who ask for the test
- Medical nutrition therapy to help people manage diabetes or kidney disease.
- Prostate cancer screening (except digital rectal examinations.)
Some Important Details
- For some preventive services, you will pay nothing. You may have to pay co-insurance (a part of the cost) for the office visit when you get these services.
- Your first yearly wellness exam can’t take place within 12 months of your “Welcome to Medicare” physical exam.
- If you’re in a Medicare Advantage Plan, check with your plan to see if these benefits will also be free for you.
Read More at – HHS.gov