Preventive Services
Preventive services include:
- “Welcome to Medicare” preventive visit (one-time)
- Alcohol misuse screening and counseling
- Annual physicals
- Bone mass measurement
- Breast cancer screening (mammogram)
- Cardiovascular disease (behavioral therapy)
- Cardiovascular screenings
- Cervical and vaginal cancer screenings
- Colorectal cancer screenings (colonoscopy, fecal occult blood test, flexible sigmoidoscopy)
- Depression screenings
- Diabetes screenings
- Diabetes self-management training
- Glaucoma screening
- Hepatitis B screening, shot and administration
- Hepatitis C screening
- HIV screenings
- Lung cancer screening
- Medical nutrition therapy services
- Medicare Diabetes Prevention Program (for qualified members)
- Obesity screenings and counseling
- Prostate cancer screenings (PSA)
- Sexually transmitted infections screenings and counseling
- Tobacco use cessation counseling (counseling for people with no sign of tobacco-related disease)
- Ultrasound AAA screening
- Vaccines, including flu shots, hepatitis B shots, pneumococcal shots
- Yearly wellness visit
Any additional preventive services approved by Medicare during the contract year will be covered. You can view a full list of preventive services covered by Medicare here.
You must use the in-network providers except in emergency or urgent care situations. If you obtain routine care from out-of-network-providers, neither Medicare nor CareSource will be responsible for the costs, unless specifically authorized by CareSource. You must use in-network pharmacies to access the prescription drug benefit, except under non-routine circumstances when you cannot reasonably use an in-network pharmacy.