If you’ve enrolled in Medicare, you should know the ins and outs of preventive care screenings. Preventive care screenings are an important step in stopping illnesses from developing and looking out for any health complications.
It’s easier than ever to get your annual wellness visit and preventive care screenings and services you need with Medicare Part B, which works like medical health insurance. Medicare covers many preventive services and screenings.
Catching problematic conditions early on means treatment is more effective. Preventive care can even help stop you from getting certain illnesses like shingles and COVID-19. Our compassionate providers at Wasatch Peak Family Practice help patients in our Layton, Utah, office get the care they need with our Medicare exams and services.
Our team also knows that Medicare plans can sometimes be hard to understand, which is why we’ve put together this guide explaining the common screenings and services included with your Medicare plan.
Covered exams and wellness visits
When you enroll in Medicare, you are eligible for a one-time “Welcome to Medicare” physical exam. You must take this exam within the first 12 months of enrolling for Medicare Part B.
During the welcome exam, your Wasatch Peak Family Practice provider conducts a physical exam and reviews your medical record. Your provider also discusses preventive services with you and provides referrals to specialists if necessary.
After you become an established Medicare Part B patient, your coverage provides an Annual Wellness Visit (AWV). Before going into each AWV, you fill out a Health Risk Assessment which your provider reviews for an update about your health.
Though AWVs are very similar to the annual physicals you’ve always had, there are some key differences. Your provider asks age-related questions about your daily routine, memory, and health. They also conduct age-related screenings, which may include:
- Issuing vision and hearing screenings
- Evaluating risk factors for mood disorders
- Assessing for cognitive impairment
- Assessing your functional ability and safety (fall risk)
If any health issues arise during your visit, your Wasatch Peak Family Provider provides health recommendations or referrals.
Covered preventive screenings and tests
Many preventive screenings and tests are covered by Medicare. The benefit of these screenings and tests is that they provide your Wasatch Peak Family Practice Provider with a baseline reading of your health. This helps your provider determine when you need more care.
Medicare Part B includes these preventive screenings and tests:
- Abdominal aortic aneurysm screening (for at-risk patients)
- Hepatitis C screening test (for at-risk patients)
- Lung cancer screening (for former and current smokers)
- Obesity screening and counseling (for patients with a BMI of 30 or higher)
- Pap test and pelvic exam, including a clinical breast exam
- Alcohol misuse screening and counseling
- Bone density test
- Cardiovascular disease screening
- Depression screening
- Diabetes screening
- HIV screening
- Colorectal cancer screening
- PSA screening for prostate cancer
- Sexually transmitted infection screening and counseling
Smoking cessation counseling for current smokers is also covered by Medicare.
Shots, vaccinations, and services
Medicare Part B covers shots and vaccinations as well, including flu shots, Hepatitis B shots for at-risk patients, pneumococcal shots, and nutrition therapy services for at-risk patients.
Partially covered preventive services
Some preventive screenings and services are partially covered by Medicare. This means you’ll have to pay some amount for them.
The amount you might owe varies by service but may include the deductible, coinsurance, copay, or 20% of the cost of the screening. These services include:
- Glaucoma test for at-risk patients
- Diabetes self-management training for at-risk patients
- Diagnostic mammogram (differs from routine screening)
- Digital rectal exam for prostate cancer (differs from PSA test)
Medigap may cover some or all of these screenings. Talk to your provider at Wasatch Peak Family Practice to better understand your coverage.
If you’d like to learn more about Medicare coverage or to schedule your annual wellness visit, schedule an appointment online or over the phone with a team member at Wasatch Peak Family Practice.