Senior Care Concepts

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Medicare Preventative Services

Medicare Part B covered                       Who is Covered?

Preventative Services

Bone Mass Measurements                           

Once every 24 months for qualified individuals and more frequently if medically necessary.

Discuss with your doctor to determine if you are a qualified individual.

Colorectal Cancer Screening:

Fecal Occult Blood Test - Once every 12 months

Flexible Sigmoidoscopy - Once every 48 months

Colonoscopy - Once every 24 months if you are at high risk for colon cancer.  If you are not at high risk for colon cancer, once every 10 years, but not within 48 months of a screening flexible sigmoidoscopy.

Barium Enema - Doctor can use this instead of a flexible sigmoidoscopy or colonoscopy.

All people with Medicare age 50 and older, except there is no minimum age for having a colonoscopy.

Diabetes Services and Supplies:

Coverage for glucose monitors, test strips and lancets.

Diabetes self-management training.

All people with Medicare who have diabetes (insulin users and non-users).

Certain people with Medicare who are at risk for complications from diabetes. Your doctor or other health care provider must request these services.

Glaucoma Screening:

Once every 12 months. Must be done or supervised by an eye doctor who is legally allowed to do this service in your state.

People with Medicare who are at high risk for glaucoma, including people with diabetes, a family history of glaucoma, or African American who are age 50 and older.

Mammogram Screening:

Once every 12 months.

Medicare also covers new digital technologies for mammogram screening.

All women with Medicare age 40 and older. You can also get one baseline mammogram between ages 35 and 39.

Pap Test and Pelvic Examination                                                                                 (includes a clinical breast exam)

Once every 24 months. Once every 12 months if you are a high risk for cervical or vaginal cancer, or if you are of childbearing age and have had an abnormal Pap test in the past 36 months.

  All women with Medicare.

Prostate Cancer Screening:

Digital Rectal Examination - Once every 12 months.

Prostate Specific Antigen (PSA) Test - Once every 12 months.

All men with Medicare age 50 and older.

Shots:

Flu shot* - once a year in the fall or winter

Pneumococcal Pneumonia Shot - One shot may be all you ever need.  Ask you doctor.

Hepatitis B Shot.

All people with Medicare.

All people with Medicare.

Certain people with Medicare at medium to high risk for Hepatitis B.

* Why should I get a flu shot every year?  The flu is a serious illness that can lead to pneumonia.  It can be dangerous for people age 50 and older. You need a flu shot every year because flu viruses are always changing. The shot is updated each year for the most current flu viruses. Also, the flu shot only helps protect you from the flu for about one year.

 

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Senior Care Concepts, 2008