Preventive Services

Preventive services include:

• “Welcome to Medicare” preventive visit (one-time).
• Alcohol misuse counseling.
• 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.
• Glaucoma screening.
• HIV screenings.
• 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).
• 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 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.