Effective January 1, 2012, Medicare to covers the services listed below at zero cost sharing.
For more information, please contact KelseyCare Advantage at 713-442-CARE (2273) or toll-free 866-535-8343 (TTY/TDD 866-302-9336), 8 a.m. to 8 p.m., seven days a week (October 1 - February 14), 8 a.m. to 8 p.m., Monday - Friday (February 15 - September 30).
The following services are covered at zero cost sharing:
For Medicare beneficiaries with obesity, whose counseling is furnished by a qualified primary care physician or other primary care practitioner and in a primary care setting, Medicare covers:
At the six month visit, a reassessment of obesity and a determination of the amount of weight loss must be performed. To be eligible for additional face-to-face visits occurring once a month for an additional six months, beneficiaries must have achieved a reduction in weight of at least 3kg (6.6 lbs) over the course of the first six months of intensive therapy.
Medicare covers intensive behavioral therapy for cardiovascular disease (CVD), which consists of the following three components:
Medicare covers one, face-to-face CVD risk reduction visit per year for Medicare beneficiaries when counseling is furnished by a qualified primary care physician or other primary care practitioner in a primary care setting.
Medicare will cover up to 2 individual 20 to 30 minute, face to face counseling sessions annually for high intensity behavioral counseling to prevent STIs for all sexually active members at increase risk for STIs.
High or increase risk individual behavior includes any of the following: