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.