Medicare Preventative Services # 10110
Medicare Preventative Services # 10110
Medicare & You 2016 - 95% of all your questions are answered here!
Medicare & You 2016 – 95% of all your questions are answered here!  Page 43 for Preventative Services

Preventative Care

Bone Density
Osteoporosis

Medicare covers bone mass measurements to see if you’re at risk for broken bones due to osteoporosis. Osteoporosis is a disease in which your bones become weak and brittle. In general, the lower your bone density, the higher your risk for a fracture.

Bone mass measurement results will help you and your doctor choose the best way to keep your bones strong.
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Who’s covered?
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Bone mass measurements are covered for certain people with Medicare whose doctors say they’re at risk for osteoporosis, and who have one of these medical conditions:
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• A woman whose doctor or health care provider says she’s estrogen-deficient and at risk for osteoporosis, based on her medical history and other findings
• A person with vertebral abnormalities as demonstrated by an X-ray
• A person getting (or expecting to get) steroid treatments
• A person with hyperparathyroidism
• A person taking an osteoporosis drug
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How often is it covered?
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Once every 24 months (more often if medically necessary).
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Your costs if you have Original Medicare
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You pay nothing for this test if the doctor accepts assignment.  Publication 10110
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Costs if you have a Medicare Advantage Plan?
Just as an example – Blue Cross MediBlue Access PPO  EOC Evidence of Coverage
In network – No charge, but subject to the qualifying rules above. EOC Page 45
Out of Network – $1,250 annual deductible and you pay 40%