Annual services are covered by most plans, both Medicare and Commercial.
COMMERCIAL (usually under 65)
Most health plans must cover a set of preventive services — like shots and screening tests — at no cost to you for: Adults • Women • Children.
MEDICARE (Medicare, Medicare Advantage)
If you have just turned 65 or it is your first year with Medicare:
The Initial Preventive Physical Exam (IPPE), also known as the Welcome to Medicare Preventive Visit, promotes good health through disease prevention and detection.
The Annual Wellness Visit (AWV) includes a Health Risk Assessment (HRA). The aim of this visit to develop or update a Personalized Prevention Plan (PPP).
What are your Medicare preventive services that are covered each year? The items in bold are what we assess and can assist with each year.
Advance Care Planning (ACP)A as an Optional AWV Element
Alcohol Misuse Screening & Counseling
Blood Pressure Screening
Bone Mass Measurements
Cardiovascular Disease Screening Tests
Cervical Cancer Screening
Colorectal Cancer Screening
Counseling to Prevent Tobacco Use
Diabetes Self-Management Training
Diet Counseling (* commercial only)
Falls Prevention (* over 65)
Flu, Pneumococcal, & Hepatitis B Shots and their Administration
Chickenpox (Varicella), Diphtheria, Hepatitis A, HPV, Measles, Meningococcal, Mumps, Whooping Cough, Rubella, Shingles, Tetanus (* Commercial)
Hepatitis B Screening
Hepatitis C Screening
Intensive Behavioral Therapy (IBT) for Cardiovascular Disease
IBT for Obesity
Lung Cancer Screening
Medical Nutrition Therapy
Medicare Diabetes Prevention Program
Obesity Screening and Counsel (* Commercial only)
Pap Tests Screening
Prolonged Preventive Services
Prostate Cancer Screening
Sexually Transmitted Infections (STIs) Screening & High Intensity Behavioral Counseling (HIBC) to Prevent STIs
Screening Pelvic Exam
Statin Preventive Medication (* Commercial only)
Syphilis Screening (* Commercial only)
Tuberculosis Screening (* Commercial only)
Ultrasound Abdominal Aortic Aneurysm (AAA) Screening (65+ and men who have smoked)