Medicare Preventative Services # 10110

Medicare Prevenative Services

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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..
 
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:.
 
• 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.
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%
 
To get immediate quotes, information and enroll ONLINE, click here for Blue Cross 

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