Medicare Part B provides several preventive benefits to help Medicare beneficiaries get the support and care they need to stay healthy, manage existing health conditions and prevent illness.
Below, we look at several important Medicare benefits that are often overlooked.
Medicare Part B covers numerous screenings and tests, including but not limited to:
Medicare Part B covers one depression screening per year. The screening must occur in a primary care setting that can provide follow-up treatment and referrals. You do not have to show signs or symptoms of depression to qualify for a depression screening.
If you’re enrolled in Medicare Part B and your doctor accepts Medicare assignment, your yearly depression screening is covered 100 percent.
Medicare Part B covers an annual alcohol misuse screening to help identify, manage and treat alcohol misuse. You do not have to show signs of alcohol misuse to be eligible for a yearly alcohol misuse screening.
If your primary care doctor determines that you’re misusing alcohol, he or she may refer you to alcohol misuse counseling. Medicare Part B typically covers 4 face-to-face alcohol misuse counseling sessions per year to people who qualify.
Medicare Part B covers one bone density test every 24 months if you are:
If your doctor accepts Medicare assignment and you meet one or more of the above qualifications, Medicare Part B usually covers your bone density test 100 percent.
Mammograms help detect early breast cancer in women who show no signs of the disease.
Medicare Part B covers some counseling and therapy services to help Medicare beneficiaries maintain their physical and mental health. Some of the counseling and therapy services covered by Medicare Part B include:
Medicare Part B covers up to 8 face-to-face counseling sessions per year to help people top smoking or using tobacco products.
If you qualify and your doctor accepts Medicare assignment, Medicare Part B covers smoking cessation counseling 100 percent.
If you have a body mass index (BMI) of 30 or higher, Medicare Part B may cover weight loss counseling. For your weight loss counseling to be covered by Medicare, you must receive counseling in a primary care setting and be diagnosed as obese by a doctor.
Once your doctor diagnoses you as obese, Medicare Part B typically covers 1 face-to-face visit per week for the first month, and 1 face-to-face visit every other week for the next 5 months.
Medical nutrition therapy services include:
Medical nutrition therapy is generally covered by Medicare Part B for people who have kidney disease, have had a kidney transplant in the last 36 months and people with diabetes.
Typically, you need a referral from your primary care physician for your medical nutrition therapy to be covered by Medicare.
This one-time preventive visit is available to anyone who is enrolled in Medicare Part B, and typically involves:
You must schedule your Welcome to Medicare Visit within the first year of enrolling in Medicare Part B.
Medicare covers the Welcome to Medicare Visit at 100 percent of the Medicare-approved amount when you receive the services from participating provider.
* Additional testing may fall outside of the scope of the Welcome to Medicare Visit and there may be out-of-pocket costs associated with such tests.
The Medicare Annual Wellness Visit is a yearly visit with your doctor where the two of you create or update a personalized health care plan tailored to your specific health care needs.
You are typically eligible for a Medicare Annual Wellness Visit if:
Some examples of services you may receive at your Annual Wellness Visit include:
The Annual Wellness Visit does not typically evaluate your vision or dental health.
Medicare Advantage plans are an alternative to Original Medicare that sometimes provide additional benefits.
Every Medicare Advantage plan must provide the same hospital and medical benefits as Medicare Part A and Part B, which means that the benefits listed in this article are covered by Medicare Advantage.
In addition to these benefits, most Medicare Advantage plans cover prescription drugs, and some plans cover vision, dental and hearing care, none of which are typically covered by Medicare Part A or Part B.
Speak with a licensed insurance agent at TTY Users: 711 (24 hours a day, 7 days a week) to find Medicare Advantage plans in your area and to enroll in a plan that works for you.
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