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 screening.
  • Colorectal cancer screenings (colonoscopy, fecal occult blood test, flexible sigmoidoscopy).
  • Glaucoma screening.
  • Depression screening.
  • Diabetes screenings.
  • HIV screening.
  • Medical nutrition therapy services.
  • Medicare Diabetes Prevention Program (for qualified members).
  • Obesity screening and counseling.
  • Prostate cancer screenings (PSA).
  • Sexually transmitted infections screening 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.
  • Annual physical.

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.