Annual wellness visit If had Part B for longer than 12 months, you can get an annual There is no you’ve wellness visit to develop or update a personalized prevention plan coinsurance, based on your current health and risk factors. This is covered once copayment, or every 12 months. deductible for the annual wellness visit. Note: Your first annual wellness visit take place within 12 can’t months of your to preventive visit. However, “Welcome Medicare” you need to have had a to visit to be don’t “Welcome Medicare” covered for annual wellness visits after had Part B for 12 you’ve months. Bone mass measurement For qualified individuals (generally, this means people at risk of losing There is no bone mass or at risk of osteoporosis), the following services are coinsurance, covered every 24 months or more frequently if medically necessary: copayment, or procedures to identify bone mass, detect bone loss, or determine bone deductible for quality, including a interpretation of the results. Medicare-covered physician’s bone mass measurement. Breast cancer screening (mammograms) Covered services include: There is no coinsurance, One baseline mammogram between the ages of 35 and 39 copayment, or One screening mammogram every 12 months for women age 40 deductible for covered and older screening Clinical breast exams once every 24 months mammograms. Cardiac rehabilitation services Comprehensive programs of cardiac rehabilitation services that 20% of the cost for include exercise, education, and counseling are covered for members Medicare covered who meet certain conditions with a order. The plan also services doctor’s covers intensive cardiac rehabilitation programs that are typically more rigorous or more intense than cardiac rehabilitation programs.
Annual wellness visit If you’ve had Part B for longer than 12 months, you can get an annual wellness visit to develop or update a personalized prevention plan based on your current health and risk factors. This is covered once every 12 months. Note: Your first annual wellness visit can’t take place within 12 months of your “Welcome to Medicare” preventive visit. However, you don’t need to have had a “Welcome to Medicare” visit to be covered for annual wellness visits after you’ve had Part B for 12 months. There is no coinsurance, copayment, or deductible for the annual wellness visit. Bone mass measurement For qualified individuals (generally, this means people at risk of losing bone mass or at risk of osteoporosis), the following services are covered every 24 months or more frequently if medically necessary: procedures to identify bone mass, detect bone loss, or determine bone quality, including a physician’s interpretation of the results. There is no coinsurance, copayment, or deductible for Medicare-covered bone mass measurement. Breast cancer screening (mammograms) Covered services include: One baseline mammogram between the ages of 35 and 39 One screening mammogram every 12 months for women age 40 and older Clinical breast exams once every 24 months There is no coinsurance, copayment, or deductible for covered screening mammograms. Cardiac rehabilitation services Comprehensive programs of cardiac rehabilitation services that include exercise, education, and counseling are covered for members who meet certain conditions with a doctor’s order. The plan also covers intensive cardiac rehabilitation programs that are typically more rigorous or more intense than cardiac rehabilitation programs. 20% of the cost for Medicare covered services
H8067_ISNP_HMO_NONPOS_Model_wRx_v2-MD_EOC.docx