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.