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The rules and regulations for Medicare, or for any insurance company, can be very confusing. Recently, at the Cresco and Lime Springs Medical Clinics, we have had a number of patient questions regarding what Medicare pays for preventive physical exams. Medicare will cover a one-time preventive physical exam within the first six months that you have Part B. The exam will include a thorough review of your health, education and counseling about the preventive services you need such as certain screenings and shots, and referrals for other care. The “Welcome to Medicare” physical exam is a great way to get up-to-date on important screenings and shots and to talk with your health care provider about your family history and how to stay healthy. You pay 20 percent of the Medicare-approved amount after you meet the yearly Part B deductible ($131 for 2007). Since this may be your first Medicare-covered service, you may meet your entire Part B deductible at this visit. It would be most helpful if you bring information on your medical history, your family health history, and a list of prescription and non-prescription drugs that you currently take, how often you take them, and why. When you call to make an appointment, be sure to tell the receptionist that you would like to schedule your “Welcome to Medicare” preventive physical exam. Medicare Part B does help cover the cost (coinsurance and/or deductibles may apply, as well as meeting certain condition requirements) of diabetic self-management training, diabetic supplies, health care provider services, durable medical equipment, emergency room services, eyeglasses (limited), flu shots, foot exams and treatment, glaucoma tests, medical nutrition therapy services, outpatient mental health care, occupational therapy, outpatient hospital services, outpatient medical and surgical services and supplies, pap test, and pelvic and breast exam. The most current information regarding Medicare rules and regulations may be found at the following web site: www.medicare.gov. Office staff at both the Cresco and Lime Springs Medical Clinics may be of assistance to you in answering any questions you have regarding Medicare rule and regulations. Please contact your health care professional at the Cresco Medical Clinic at (563) 547-2022, toll free 1-888-547-5474 or the Lime Springs Medical Clinic at (563) 566-2243, toll free 1-800-593-5463 for your next appointment. Cresco Medical Clinic Lime Springs Medical Clinic & Pharmacy Departments of Regional Health Services of Howard County |
Medicare: Preventive Services