Manage Your Health – What Preventive Health Services Does Medicare Provide?

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Health care to prevent illness or detect it at an early stage, when treatment is most likely to work best (for example, Pap tests, flu shots, and colorectal cancer screenings).

Print off a copy of this checklist to discuss with your doctor or health care provider which services are right for you. And, use this checklist to help keep track of your preventive services.

You can also track your preventive services on MyMedicare.gov! Get a two-year calendar of the Medicare-covered tests and screenings you’re eligible for, and print a personalized “on the go” report to take to your next doctor’s appointment.

Preventive Services

Abdominal Aortic Aneurysm Screening
A one-time screening ultrasound for people at risk.

Bone Mass Measurement
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 Screening (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 Screening
Medicare covers a one-time screening EKG if you get a referral for it as a result of your one-time “Welcome to Medicare” physical exam.

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 Screening
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.

Mammogram
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 Test and Pelvic Exam
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.

Physical Exam
Medicare will cover two types of physical exams—one when you’re new to Medicare and one each year after that.

Pneumococcal Shot
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.

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