Your Medicare Coverage:

Chronic care management services

How often is it covered?

Medicare may pay for a health care professional's help to manage your health conditions if both of these apply:

You have 2 or more serious chronic conditions.
Your conditons are expected to last at least a year.

Chronic care management offers additional help managing conditions like these:

Arthritis
Asthma
Diabetes
Hypertension
Heart disease
Osteoporosis

Services may include:

At least 20 minutes per month of chronic care management services
Personalized help from a health care professional to create a care plan based on your needs and goals
Care coordinated between your doctor, pharmacy, specialists, testing centers, hospitals, and other services
Phone check-ins between visits to keep you on track
Emergency access to a health care professional, 24 hours a day, 7 days a week
Expert help with setting and meeting your health goals

Who's eligible?

All people with Part B are covered. To get started, ask your health care professionals if they provide chronic care management services.

Your costs in Original Medicare You may pay a monthly fee, and the Part B Deductible and Coinsurance apply. If you have supplemental insurance, or have both Medicare and Medicaid, it may help cover the monthly fee.

Your Medicare Coverage: Preventive visit & yearly wellness exams

How often is it covered? Medicare Part B (Medical Insurance) covers:

A "Welcome to Medicare" preventive visit: You can get this visit only within the first 12 months you have Part B. This visit includes a review of your medical and social history related to your health and education and counseling about preventive services, including these:
Certain screenings, flu and pneumococcal shots, and referrals for other care, if needed.
Height, weight, and blood pressure measurements.
A calculation of your body mass index.
A simple vision test.
A review of your potential risk for depression and your level of safety. o An offer to talk with you about creating advance directives.
A written plan letting you know which screenings, shots, and other preventive services you need. Get details about coverage for screenings, shots, and other preventive services.

This visit is covered one time. You don't need to have this visit to be covered for yearly "Wellness" visits.

Yearly "Wellness" visits: If you've had Part B for longer than 12 months, you can get this visit to develop or update a personalized prevention help plan. This plan is designed to help prevent disease and disability based on your current health and risk factors. Your provider will ask you to fill out a questionnaire, called a "Health Risk Assessment," as part of this visit. Answering these questions can help you and your provider develop a personalized prevention plan to help you stay healthy and get the most out of your visit. It can also include:
A review of your medical and family history
Developing or updating a list of current providers and prescriptions.
Height, weight, blood pressure, and other routine measurements.
Detection of any cognitive impairment.
Personalized health advice.
A list of risk factors and treatment options for you. o A screening schedule (like a checklist) for appropriate preventive services. Get details about coverage for screenings, shots, and other preventive services. o Advance care planning

This visit is covered once every 12 months.

Who's eligible?

All people with Part B are covered.

Your costs in Original Medicare

You pay nothing for the "Welcome to Medicare" preventive visit or the yearly "Wellness" visit if your doctor or other qualified health care provider accepts Assignment. The Part B Deductible doesn't apply. However, you may have to pay Coinsurance, and the Part B deductible may apply if:

Your doctor or other health care provider performs additional tests or services during the same visit.
These additional tests or services aren't covered under the preventive benefits.