Did You Know That Medicare Covers.....?
Written by David Hecker
Many people are not aware that Medicare covers the following:
One-time "Welcome to Medicare" Physical Exam Beginning January 1, 2005, Medicare covers a one-time
review of your health, as well as education and counseling about the preventive services you need, including
certain screenings and shots. Referrals for other care if you need it will also be covered. You must have the
exam within the first six months you have Medicare Part B. Due to changes by the Affordable Care Act,
Medicare now covers Annual Wellness exams as well.
Cardiovascular Screenings Ask your doctor to test your cholesterol, lipid and triglyceride levels so he or she
can help you prevent a heart attack or stroke. Beginning January 1, 2005, Medicare covers tests for
cholesterol, lipid, and triglyceride levels every five years.
Screening Mammograms These tests check for breast cancer before you or your doctor may be able to feel
it. Medicare covers mammograms once every 12 months for all women with Medicare age 40 and older.
Pap Test and Pelvic Exam (includes clinical breast exam) These exams check for cervical and vaginal
cancers. Medicare covers these exams every 24 months for all women with Medicare and once every 12
months for women with Medicare at high risk.
Colorectal Cancer Screening These tests help find colorectal cancer early, when treatment is most
effective. If you are age 50 or older, or are at high risk for colorectal cancer, one or more of the following tests
is covered: Fecal Occult Blood Test, Flexible Sigmoidoscopy, Screening colonoscopy, and/or barium enema.
How often Medicare pays for these tests is different depending on the test you and your doctor decide is best
and your level of risk for this cancer.
Flu Shots These shots help prevent influenza, or flu virus. Medicare covers these shots once a flu season in
the fall or winter for all people with Medicare.
Prostate Cancer Screening These tests help find prostate cancer. Medicare covers a digital rectal exam and
Prostate Specific Antigen (PSA) test once every 12 months for all men with Medicare over age 50.
Pneumococcal Shot This shot helps prevent pneumococcal infections. Medicare covers this shot for all
people with Medicare. Most people only need this shot once in their lifetime. Talk with your doctor.
Hepatitis B Shots These three shots help protect people from getting Hepatitis B. Medicare covers these
shots for people with Medicare at high or medium risk for Hepatitis B.
Bone Mass Measurements These measurements help determine if you are at risk for broken bones.
Medicare covers these measurements once every 24 months (more often if medically necessary) for people
with Medicare at risk for osteoporosis.
Diabetes Screenings Beginning January 1, 2005, Medicare covers tests to check for diabetes. These tests
are available if you have any of the following risk factors: high blood pressure, dyslipidemia (history of
abnormal cholesterol and tryglyceride levels), obesity, or a history of high blood sugar. Medicare also covers
these tests if you have two or more of the following characteristics: ·age 65 or older, ·overweight, ·family
history of diabetes (parents, brothers, sisters), and ·a history of gestational diabetes (diabetes during
pregnancy), or delivery of a baby weighing more than 9 pounds. Based on the results of these tests, you may
be eligible for up to two diabetes screenings every year. Talk to your doctor for more information.
Glaucoma Tests These tests help find the eye disease glaucoma. Medicare covers these tests once every 12
months for people with Medicare at high risk for glaucoma.
For some of these services, you might have to pay a deductible, coinsurance and/or copayment.
These amounts vary depending on the type of services you need and the kind of Medicare health
plan you have.
For more detailed information, please contact David Hecker - (903) 918-9091 or Toll Free (877) 454-4959 or
|David Hecker * 3010 Latonia St. Longview TX 75605
Licensed in Texas, Louisiana & Arkansas
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