What are some Medicare Part B Preventive Services in the IPPE, Welcome To Medicare?
● Advance Care Planning (ACP) as an Optional Element of an AWV
● Alcohol Misuse Screening and Counseling
● Annual Wellness Visit (AWV)
● Bone Mass Measurements
● Cardiovascular Disease Screening
● Colorectal Cancer Screening
● Counseling to Prevent Tobacco Use
● Depression Screening
● Diabetes Screening
● Diabetes Self-Management Training (DSMT)
● Glaucoma Screening
● Hepatitis C Virus (HCV) Screening
● Human Immunodeficiency Virus (HIV) Screening
●Influenza, Pneumococcal, and Hepatitis B Vaccinations and their Administration
●Intensive Behavioral Therapy (IBT) for Cardiovascular Disease (CVD), also known as a CVD risk reduction visit
● Intensive Behavioral Therapy (IBT) for Obesity
● Medical Nutrition Therapy (MNT)
● Prostate Cancer Screening
● Screening for Cervical Cancer with Human Papillomavirus (HPV) Tests
●Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)
● Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs
● Screening Mammography
● Screening Pap Tests
● Screening Pelvic Examination (includes a clinical breast examination)
● Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)
Is the IPPE the same as a beneficiary’s yearly physical?
No. The IPPE is not a routine physical checkup that some seniors may get periodically from their physician or other qualified non-physician practitioner. The IPPE is an introduction to Medicare and covered benefits and focuses on health promotion and disease prevention and detection to help beneficiaries stay well. Medicare does not cover routine physical examinations.
Are clinical laboratory tests part of the IPPE?
No. The IPPE does not include any clinical laboratory tests, but you may make referrals for such tests as part of the IPPE, if appropriate.
Do deductible or coinsurance/copayment apply for the IPPE?
No. Medicare waives both the coinsurance/copayment and the Medicare Part B deductible for the IPPE
If a beneficiary enrolls in Medicare in 2016, can he or she have the IPPE in 2017 if it was not performed in 2016?
A beneficiary who has not yet had an IPPE and whose initial enrollment in Medicare Part B began in 2016 is eligible for an IPPE in 2017 as long as it is done within 12 months of the beneficiary’s first Medicare Part B enrollment effective date.
Dr. Carly Willeford
Welcome to my Medicare Blog for Seniors!