Medicare Preventative Health Benefits
| Preventive Service | How Often Allowed | Additional Details |
| Abdominal Aortic Aneurysm Screening Ultrasound | Once with certain risk factors and referral from practitioner | Covered at 100% |
| Alcohol Misuse Screening and Counseling | Screening: Once per year Counseling: 4 times per year for those who screen positive | Covered at 100% |
| Annual Wellness Visit (Not a full physical, prevention planning only) | Annually 12 months after Part B effective date | Covered at 100% |
| Bone Mass Measurement | Every 2 years if at risk; More frequently if high risk | Covered at 100% |
| Cardiovascular Disease Screening | Once every 5 years for all beneficiaries with no signs or symptoms | Covered at 100% |
| Cardiovascular Disease Behavioral Therapy | One CVD risk reduction visit annually | Covered at 100% |
| Colorectal Cancer Screening: Screening Colonoscopy | Normal risk: Once every 10 years High risk: Once every 2 years | Covered at 100% |
| Colorectal Cancer Screening: Fecal Occult Blood Test | Every year | Covered at 100% |
| Colorectal Cancer Screening: Flex Sigmoidoscopy | Once every 4 years unless screening colonoscopy was performed less than 120 months prior | Covered at 100% |
| Colorectal Cancer Screening: Barium Enema | Once every 4 years if used instead of Flex sigmoidoscopy | You pay 20% of the Medicare-approved amount; deductible waived |
| Colorectal Cancer Screening: sDNA Test | Once every 3 years | Covered at 100% |
| Depression Screening | Once per year | Covered at 100% |
| Diabetes Screening | One screening per year if not diagnosed pre-diabetic; Twice per year if diagnosed pre-diabetic | Covered at 100% |
| Diabetes Self-Management Training | Initial training: Up to 10 hours within a 12 month period Subsequent years: Up to 2 hours within a 12 month period | You pay 20% of the Medicare-approved amount after meeting the Part B deductible |
| Flu Vaccine | Once per influenza season | Covered at 100% |
| Glaucoma Screening | Once per year for those at risk | You pay 20% of the Medicare-approved amount after meeting the Part B deductible |
| Hepatitis B Vaccine | Three scheduled injections for those at medium or high risk | Covered at 100% |
| Hepatitis C Screening | Annually for those at high risk; or Once in a lifetime for those born between 1945 and 1965 | Covered at 100% |
| HIV Screening | Once per year for those at risk; Three times per pregnancy for those who are pregnant | Covered at 100% |
| Initial Preventive Physical Exam (IPPE) "Welcome to Medicare Exam" | Once for all new beneficiaries within 12 months of starting Part B | Covered at 100% |
| Lung Cancer Screening | Low-dose CT once per year for those who are high risk | Covered at 100% |
| Mammogram | Once for those aged 35-39; Annually for those 40 and older | Covered at 100% |
| Medical Nutrition Therapy | First year: 3 hours of counseling; Subsequent years: 2 hours *For those diagnosed with diabetes, renal disease, or have had a kidney transplant | Covered at 100% |
| Obesity Behavior Therapy | For those with a BMI >30 First Month: one visit every week; Months 2-6: one visit every other week; Months 7-12: one visit every month | Covered at 100% |
| Pap Test and Pelvic Exam | Annually for those at high risk; Every 2 years for normal risk | Covered at 100% |
| Pneumonia Vaccine | An initial vaccine and a second vaccine one year after the first was received | Covered at 100% |
| Prostate Cancer Screening | Annually for males 50+ | PSA Covered at 100%; DRE - You pay 20% of Medicare approved amount after meeting the Part B deductible |
| Sexually Transmitted Infection Screening and Counseling | Annually for those at high risk; More frequently if pregnant | Covered at 100% |
| Tobacco Use Cessation Counseling | Two attempts per year (each attempt includes up to four counseling sessions) | Covered at 100% |