Understanding Medicare's Preventive Service Coverage

- Medicare Part B covers many preventive services at 100% with no deductible or coinsurance when you meet specific criteria.
- Over 40 preventive services are available to Medicare beneficiaries, yet fewer than half take full advantage of them.
- Covered services range from screenings and vaccines to counseling and wellness visits.
- Knowing the timing, provider rules, and service types is crucial to receiving care at no cost.
For Medicare beneficiaries, preventive care isn’t just a recommendation—it’s a fully covered benefit. Medicare Part B includes a broad set of preventive services designed to detect health issues early, keep chronic diseases in check, and promote long-term wellness. Yet even with over 40 different services covered, data from CMS suggest that many individuals aren't using them regularly.
That matters. Many of these services, such as immunizations, cancer screenings, and wellness visits, come at no cost to the patient when certain conditions are met. Most notably:
- Services must be billed as preventive—not diagnostic or treatment-related
- They must be provided by a Medicare-participating provider who accepts assignment
- Age, frequency, and risk-factor requirements must be satisfied
- Coverage only applies to specific codes and guidelines listed in the Medicare Benefit Policy Manual
Understanding how these services are structured—and what you’re eligible for—is key to maximizing their value.

Understanding Medicare's Approach to Preventive Care
Medicare’s investment in preventive care reflects a growing recognition: Staying healthy is often more cost-effective than treating avoidable illness. Over the past decade, Medicare has expanded its list of fully covered preventive services, particularly under Part B, with an emphasis on clinical evidence and population-wide impact. This section explains the philosophy and structure behind Medicare’s preventive benefits—and what it takes to qualify for them at no cost.
Medicare's Preventive Care Philosophy
Medicare’s shift toward prevention is rooted in public health science. Instead of waiting for a disease to worsen, the program encourages early detection, risk assessment, and lifestyle-based interventions.
- Services must be grounded in clinical evidence, often requiring an “A” or “B” rating from the USPSTF—though Medicare also uses other mechanisms like National Coverage Determinations (NCDs)
- Priority is given to high-impact screenings for conditions like cancer, diabetes, and heart disease
- Medicare Part B funds prevention, not just treatment, helping beneficiaries stay healthier longer
- Cost-effectiveness is a major factor, with Medicare evaluating both outcomes and spending
This approach not only improves individual outcomes—it reduces strain on the broader healthcare system.
Medicare Part B Preventive Service Framework
Even with generous coverage, preventive services under Part B come with clear boundaries. To be covered in full, a service must meet specific coding, timing, and provider requirements.
- No deductible or coinsurance applies to most covered preventive services
- The provider must accept Medicare assignment to avoid charges
- Each service has strict rules around timing and frequency
- Diagnostic elements can disqualify full coverage, even if the visit started as preventive
For example, an annual screening mammogram is fully covered. But if a second test is ordered due to a concerning result, that follow-up becomes diagnostic—and may involve out-of-pocket costs.
Key Requirements for Free Preventive Coverage
Understanding the fine print can make the difference between a free visit and a surprise bill. Medicare only covers preventive services at 100% when all conditions are satisfied.
- The provider must be Medicare-approved and accept assignment
- The service must be billed with preventive codes, not diagnostic ones
- You must meet eligibility criteria, including age and risk-factor thresholds
- Services must be performed on the approved schedule, not too soon or too often
If any of these elements are missing—or miscoded—the service may be denied or only partially covered. It's one reason many beneficiaries benefit from having someone on their side to help track and schedule preventive care.

Comprehensive List of Medicare-Covered Preventive Services
Medicare Part B covers dozens of preventive services, but not all are intuitive or well-known. This section breaks them down by category—beginning with the screenings and wellness visits most patients encounter first.
Annual Wellness and Screening Services
These visits form the foundation of your Medicare preventive care. They’re designed to monitor your overall health, screen for cognitive and physical changes, and help set up future preventive care.
Welcome to Medicare Preventive Visit
New to Medicare? You’re eligible for a one-time preventive visit within the first 12 months of enrolling in Part B. This visit establishes baseline health data and helps orient you to what Medicare offers.
- Covers a review of your medical and social history
- Includes a basic vision test and blood pressure check
- Provides education about covered preventive services
- Offers referrals for screenings like mammograms or colonoscopies
- Helps document key risk factors for future care planning
This visit is often the gateway to the rest of your Medicare preventive benefits.
Annual Wellness Visit (AWV)
After your first year on Medicare Part B, you’re entitled to one Annual Wellness Visit every 12 months. This is not a physical exam—but it includes key elements that help detect changes in your health and plan ahead.
- Includes a health risk assessment and personalized prevention plan
- Reviews your medical and family history
- Checks blood pressure, weight, height, and BMI
- Screens for signs of cognitive impairment
- Provides a checklist of recommended preventive services
Your provider will also talk through goals, future screenings, and chronic condition monitoring.
Cancer Screening Services
Medicare covers a wide range of cancer screenings for early detection. These services are based on evidence-backed guidelines and vary by age, sex, and personal risk factors. When performed preventively by a participating provider, they’re typically free.
Mammography Screening
Regular breast cancer screening is a key Medicare benefit for women 40 and older. Screening mammograms are covered annually, and diagnostic mammograms are covered when medically necessary.
- Annual screening for women age 40 and over
- Baseline mammogram allowed for women 35–39 if high risk
- Coverage for 3D mammography (tomosynthesis) when available
- No frequency limits for diagnostic mammograms
Medicare also covers follow-up care if abnormalities are found, though those services may be billed differently.
Cervical and Vaginal Cancer Screening
Pap tests and pelvic exams are covered regularly based on your risk profile. These screenings help detect cervical cancer and other gynecological concerns.
- Pap smear and pelvic exam every 24 months (or annually if high risk)
- HPV testing for women age 30–65 every 5 years
- Coverage includes clinical breast exam during pelvic exam
- Services covered regardless of age if medically necessary
These tests are often coordinated during wellness visits or with a gynecologist familiar with Medicare billing codes.
Colorectal Cancer Screening
Medicare offers multiple screening options for colorectal cancer, with frequency depending on the test type. Patients at higher risk may qualify for more frequent testing.
- Colonoscopy every 10 years starting at age 50 (or earlier if high risk, based on physician recommendation)
- Annual fecal occult blood test (FOBT)
- Stool DNA test (like Cologuard) every 3 years
- Flexible sigmoidoscopy every 4 years if not receiving colonoscopy, or per combined testing intervals
CT colonography may also be covered in certain cases, though availability can vary by provider.
Prostate Cancer Screening
Medicare covers yearly prostate cancer screenings for men age 50 and older. Men with family history or other risk factors may benefit from earlier screening.
- Annual digital rectal exam and PSA blood test starting at age 50
- Coverage includes shared decision-making with your provider
- Earlier testing may be covered for high-risk individuals
- Diagnostic follow-up also covered if PSA levels are elevated
All preventive screenings must follow Medicare's frequency and coding guidelines to qualify as no-cost services.

Cardiovascular and Metabolic Screening
Preventive care also includes routine evaluation for heart disease, diabetes, and obesity—conditions that often progress silently until complications arise. Medicare covers several key screenings to detect and manage these risks early.
Cardiovascular Disease Screening
Basic cardiovascular screening is available at regular intervals to assess risk and encourage early intervention.
- Blood pressure measured at every clinical encounter
- Cholesterol, lipid, and triglyceride panels every 5 years
- Electrocardiogram (EKG) as part of the Welcome to Medicare visit
- Risk assessment for atherosclerotic cardiovascular disease
Providers may recommend more frequent testing for patients with known risk factors like smoking, hypertension, or a family history of heart disease.
Diabetes Screening
Screenings for diabetes or prediabetes are covered based on risk level and screening frequency guidelines.
- Annual glucose screening for patients with high blood pressure
- Every 3 years for individuals with additional risk factors (e.g., obesity, family history)
- More frequent testing for those with prediabetes
- Fasting glucose, A1C, or oral glucose tolerance tests
Continuous glucose monitors (CGMs) may also be covered for qualified diabetes patients when criteria are met.
Obesity Screening and Counseling
Obesity-related screenings and counseling services are part of Medicare’s commitment to preventive wellness.
- BMI assessment during Annual Wellness Visits
- Intensive behavioral therapy for patients with BMI ≥30
- Up to 22 in-person sessions per year
- Dietitian counseling and referrals to weight loss programs
These services are most effective when integrated into a broader care plan for chronic disease prevention.
Infectious Disease and Immunization Coverage
Medicare covers screening for certain viral infections that can have serious long-term health consequences, especially for high-risk populations.
Hepatitis B and C Screening
Screenings are based on age, risk behaviors, and provider recommendations.
- One-time Hepatitis C test for anyone born 1945–1965
- Annual Hepatitis C screening for high-risk individuals
- Hepatitis B screening for high-risk individuals (e.g., diabetic patients, IV drug use history)
- Vaccination recommended based on test results
Follow-up testing and care planning are covered when indicated by positive screening results.
HIV Screening
HIV testing is offered preventively to patients in certain age groups or with relevant risk factors.
- One-time HIV screening for individuals aged 15–65, with annual testing for high-risk individuals
- More frequent testing for high-risk individuals
- Opt-out consent model used in most care settings
- Preventive counseling and linkage to care after positive results
HIV screenings can be coordinated with wellness visits or performed as standalone services.
Tuberculosis Screening
Medicare covers TB screening when indicated by risk factors or medical history.
- Tuberculin skin test or interferon-gamma release assay (IGRA)
- Annual screening for high-risk populations (e.g., immunocompromised individuals, those in congregate living)
- Follow-up with chest X-ray when needed
- Treatment monitoring and public health coordination
TB screening is especially important for patients initiating immunosuppressive therapy or entering skilled nursing facilities.

Immunizations Covered by Medicare
Vaccination plays a vital role in preventing serious illness, especially for older adults. Medicare covers a broad range of vaccines, some under Part B and others under Part D, depending on their classification and purpose.
Part B Covered Vaccines
Medicare Part B covers vaccines that are considered medically necessary for public health and administered in clinical settings.
These vaccines are fully covered when given by providers who accept Medicare assignment.
Part D Covered Vaccines
Vaccines that are not covered under Part B—often those used for general wellness or travel—may be covered under Medicare Part D.
Part D plans vary in their pharmacy networks and cost-sharing requirements. To avoid charges, confirm your pharmacy is in-network and can bill your plan directly.
Specialized Preventive Services and Screening
In addition to general screenings, Medicare includes specialized tests for conditions that disproportionately affect older adults, such as osteoporosis and cognitive decline.
Bone Health and Osteoporosis Screening
Bone density testing (DEXA scans) is covered for individuals at risk of fractures or bone loss.
- Covered once every 24 months for qualifying individuals
- Women 65+ and men 70+ may qualify if clinical risk factors are present
- Younger individuals covered if they have certain risk factors (e.g., steroid use, low body weight)
- Follow-up scans covered if previous results were abnormal
This screening is key for preventing fractures and managing osteoporosis before serious complications occur.
Depression Screening
Mental health is an important part of overall wellness, and Medicare provides annual coverage for depression screening in a primary care setting.
- Use of validated tools like the PHQ-9
- Screening available once per year during a wellness visit
- Coverage includes follow-up planning for positive results
- Can be coordinated with broader behavioral health services
Early detection of depression can significantly improve health outcomes and treatment effectiveness.

Cognitive Assessment
Cognitive screenings are designed to identify early signs of memory loss or cognitive impairment.
- Included in the Annual Wellness Visit
- Tools may include the Mini-Mental State Exam (MMSE) or other cognitive tests
- Referral for full neuropsychological testing when needed
- Follow-up planning and care coordination for dementia or Alzheimer's
Addressing cognitive changes early allows patients and families to prepare and access supportive resources.
Vision and Hearing Screening
Sensory health plays a significant role in safety, communication, and overall well-being—especially for older adults. While Medicare’s coverage for routine vision and hearing care is limited, specific preventive screenings are included when certain conditions are met.
Glaucoma Screening
Medicare covers glaucoma screening once per year for beneficiaries who meet high-risk criteria.
- Individuals of any age with diabetes or a family history of glaucoma
- African Americans age 50+ and Hispanic Americans age 65+
- Screening must include a comprehensive eye exam with tonometry
- Must be performed by or under the supervision of an eye care professional eligible for Medicare
These screenings help catch glaucoma early, when it’s most manageable.
Hearing Screening
Medicare does not cover routine hearing exams, but screenings tied to medical necessity are included.
- Annual Wellness Visits include a review of hearing concerns, but not formal hearing exams
- Audiometric testing may be covered if ordered by a physician
- Evaluations are covered when a provider determines that hearing loss is interfering with daily life
- Referral to ENT or audiology specialists may follow abnormal results
While hearing aids themselves aren’t covered under Original Medicare, identifying and documenting loss is the first step toward support.
Routine dental and vision care is not covered under Original Medicare, though some Medicare Advantage plans include these services.

Maximizing Your Medicare Preventive Benefits
Preventive care works best when it’s thoughtfully planned. That means knowing what you’re eligible for, when to schedule it, and how to make the most of each appointment.
Creating a Preventive Care Schedule
A personalized schedule helps avoid missed opportunities and duplication of services.
- Sync annual screenings and wellness visits for efficiency
- Use calendar reminders to track eligibility windows and frequency limits
- Incorporate preventive services into routine chronic care visits
- Coordinate with multiple providers to avoid redundant appointments
Patients who plan ahead are more likely to complete recommended screenings and catch issues early.
Age-Specific Preventive Care Recommendations
Preventive priorities change as people age. Medicare coverage supports this evolution.
- Ages 65–70: Immunizations, initial cancer screenings, and establishing baseline metrics
- Ages 70–80: Continued screenings and attention to fall risk, cognition, and nutrition
- 80+: Focus on functional assessments, sensory health, and care coordination
Individual risk factors may shift these timelines—especially with a history of chronic conditions or family predispositions.
Working with Healthcare Providers for Preventive Care
Clear communication with your care team can help you get the most out of Medicare’s preventive offerings.
Primary Care Provider Coordination
Your primary care provider serves as the foundation of your preventive care strategy, helping coordinate screenings and maintain your overall health plan. During regular visits, discuss which preventive services are due and share any updates to your family or personal health history that might change your risk profile or screening requirements. Your provider can help track frequency limits for various services and ensure proper billing codes are used to maintain your Medicare coverage. The Annual Wellness Visit is particularly valuable for creating a comprehensive preventive care plan tailored to your current health status and risk factors. By maintaining open communication with your primary care team, you ensure that preventive services are integrated seamlessly with your ongoing medical care rather than treated as separate, disconnected appointments.
Building this relationship over time can make it easier to catch changes early and coordinate services efficiently.
Specialist Coordination for Preventive Services
Specialists often oversee screenings tied to specific conditions or risk factors, and Medicare will typically cover their preventive services when eligibility criteria are met.
- Gynecologists for cervical cancer screenings and women’s health
- Cardiologists for cholesterol checks and cardiovascular risk
- Gastroenterologists for colorectal screenings
- Ophthalmologists for vision care including glaucoma
- Dermatologists for skin cancer evaluation if risk factors are present
Working with the right mix of providers can help ensure that your preventive care is both comprehensive and personalized.
Documentation and Tracking of Preventive Care
Maintaining accurate personal health records helps you stay on top of what services you’ve received, when you're due for the next one, and how your results fit into your broader care plan.
Personal Health Record Management
Keeping detailed records of your preventive care helps ensure nothing falls through the cracks and improves communication with your healthcare team. Your personal health record should include dates and results of all preventive services, follow-up recommendations from screenings, current immunization status and upcoming schedules, and documented family history that informs your risk assessments. Also maintain records of important provider communications and care coordination discussions. This organized approach not only helps you and your doctors stay aligned on your care plan but also prevents unnecessary duplicate testing and ensures you don't miss important screening opportunities as they become due.
Insurance and Billing Verification
Proactive verification of coverage and billing practices helps you avoid unexpected costs and ensures you receive the full preventive care benefits available through Medicare. Before each appointment, confirm that your provider accepts Medicare assignment and understands proper preventive service coding requirements. After receiving care, carefully review your Explanation of Benefits to verify that services were billed correctly as preventive rather than diagnostic. If billing errors occur, having accurate documentation of what services were provided and why makes the appeal process more straightforward. For any services that Medicare doesn't fully cover, coordinate with supplemental insurance to understand your options and responsibilities upfront rather than discovering limitations after the fact.
When billing issues arise, accurate documentation and provider communication are often your first line of defense.

Common Preventive Care Challenges and Solutions
Preventive care can save lives and reduce long-term costs, but patients often run into obstacles that limit access or result in unexpected bills. Understanding these challenges—and how to respond—can make a major difference.
Provider and Billing Issues
Even when Medicare covers a preventive service at no cost, billing errors can result in unexpected charges. Common problems include preventive services being incorrectly coded as diagnostic visits, providers who don't accept Medicare assignment leading to higher out-of-pocket costs, or services being performed too frequently to qualify for full coverage. Sometimes the issue is as simple as wrong billing codes that automatically trigger patient responsibility. Understanding Medicare's preventive care rules and maintaining clear communication with your provider about coverage expectations can help you avoid these unnecessary costs before they occur.
Solutions for Billing Problems
If you receive a bill for what should have been a free preventive service, the situation can often be resolved with the right approach. Start by confirming that your provider accepts Medicare and understands preventive billing requirements, then ask them to refile the claim with the correct preventive care codes. Review your Explanation of Benefits carefully to identify how the service was categorized and what diagnosis codes were used. If Medicare incorrectly denied coverage, you have the right to file an appeal. A Solace advocate can help navigate these billing complications and work directly with providers to correct coding mistakes that lead to improper charges.
Access and Availability Challenges
Geographic location and local healthcare capacity can create significant barriers to accessing preventive care, particularly in rural or underserved areas. Some regions face shortages of Medicare-participating specialists, extended wait times for routine screenings, or limited access to imaging and laboratory services. Transportation can also be a major obstacle for individuals with mobility limitations or those without reliable access to vehicles. While these challenges can delay important preventive care, understanding your options and planning ahead can help overcome many access barriers.
Strategies for Improving Access
Strategic planning can help you work around common access issues and ensure you receive necessary preventive care. Schedule annual screenings early in the calendar year when provider capacity is typically better and wait times shorter. Take advantage of mobile screening clinics or community health events when they're available in your area. Ask your provider to coordinate multiple preventive services during a single visit to reduce the number of appointments needed. Explore telehealth options for preventive counseling sessions or care planning discussions. A Solace advocate can help identify accessible providers in your specific area and develop a realistic preventive care plan that works within local constraints and your personal circumstances.
A Solace advocate can help identify accessible providers in your area and build a preventive care plan around what’s realistic for you.
Medicare Advantage vs. Original Medicare for Preventive Care
Medicare Advantage plans are required to cover all the same preventive services as Original Medicare—but they may structure them differently. Understanding the distinctions can help you make the most of your plan.
Original Medicare Preventive Coverage
Original Medicare offers consistent access to preventive care through any provider that accepts Medicare.
- Nationwide coverage rules with no network limitations
- Freedom to choose any Medicare-assigned provider
- Standardized frequency and eligibility criteria
- Uniform appeals process for billing issues
This structure gives many beneficiaries more predictability when planning preventive care.
Medicare Advantage Enhanced Preventive Benefits
Medicare Advantage plans may offer additional services that go beyond Original Medicare’s minimum requirements.
- Access to wellness programs, gym memberships, and nutrition counseling
- Transportation support for medical appointments
- Care management tools like preventive reminders and scheduling assistance
- Optional supplemental benefits that target chronic illness prevention
These extras can be valuable—but network restrictions may limit your provider choices.

Preventive Care Considerations for Special Populations
Some individuals need more frequent or specialized preventive care based on health history, risk factors, or access challenges. Medicare allows flexibility in these cases—but beneficiaries need to know what to ask for.
High-Risk Individuals and Enhanced Screening
If you have a chronic condition or elevated risk for certain diseases, your preventive care needs extend beyond standard Medicare guidelines. Individuals with diabetes or heart disease may require more frequent cardiovascular screenings, while cancer survivors or those with significant family history benefit from tailored surveillance programs. Patients with memory concerns need regular cognitive evaluations, and those with kidney disease or compromised immune systems require additional laboratory monitoring.
Your healthcare team can adjust screening frequency and types based on your specific risk factors and medical necessity, ensuring early detection remains a priority even as your health needs become more complex.
Socioeconomic and Cultural Considerations
Effective preventive care must account for language, cultural background, and financial circumstances that can create barriers to access. Non-English speakers benefit from interpreter services and translated educational materials, while underserved populations may need community-based outreach programs to connect with available services. Screening programs should address local health disparities, and patients new to Medicare or preventive care concepts require additional health literacy support.
A culturally sensitive care team—or a Solace advocate—can help identify and bridge these gaps, ensuring that preventive benefits are accessible and meaningful regardless of background or circumstances.
Preventive Care Transitions and Continuity
Major life changes like enrolling in Medicare, switching providers, or moving to a new area can disrupt preventive care schedules if not properly managed. When transitioning to Medicare, it's important to review your preventive care history and identify any overdue services. Medical records should be transferred promptly from previous providers to maintain continuity, and upcoming screenings need coordination during any provider or plan changes. Maintaining a personal health record with documented care history ensures that important preventive services don't fall through the cracks during transitions.
Clear communication with your care team throughout these changes helps preserve a seamless preventive care schedule.
How a Solace Healthcare Advocate Can Help Maximize Preventive Benefits
Preventive care works best when it’s planned, personalized, and pursued consistently. Solace advocates are trained to help you stay on top of your eligibility, schedule, access, and follow-up.
Preventive Care Planning and Coordination
Many people don't realize the full scope of preventive care available to them or when services are due. Your Solace advocate creates a personalized calendar of eligible screenings and services based on your age, gender, and health risks. They help coordinate multiple appointments to reduce the number of visits required and provide reminders when services are due. By tracking frequency limits and coverage windows, your advocate ensures you don't miss opportunities for early detection that could prevent more serious health issues down the road.
Provider Network Navigation and Optimization
Finding qualified providers who accept Medicare and specialize in your specific needs can be challenging. Your advocate identifies local specialists, coordinates care between your primary doctor and other providers to prevent duplicate testing, and resolves any network access issues that arise. They also help arrange transportation when needed and maintain a list of backup providers in case your current doctors become unavailable. This behind-the-scenes coordination allows you to focus on your health rather than the logistics of care.
Insurance Navigation and Billing Advocacy
Even with Medicare coverage, preventive care billing can become complicated when services that should be covered at no cost result in unexpected charges. Your Solace advocate verifies coverage before appointments, identifies and corrects billing errors, and appeals improper claim denials with Medicare or supplemental insurers. They also help interpret explanation of benefits statements so you understand exactly what services were provided and what costs, if any, are your responsibility.
Long-term Preventive Health Planning
Effective preventive care requires ongoing planning that adapts to your changing health needs over time. Your advocate reviews your family history with your care team to determine if screening schedules should be adjusted, supports lifestyle modifications that promote long-term wellness, and ensures preventive services are properly integrated with any chronic condition management. As your health status and Medicare benefits evolve, they continuously update your preventive care plan to maintain comprehensive coverage and optimal health outcomes.
Schedule your first appointment and find your advocate today.
The bottom line
Preventive services under Medicare are not just a nice-to-have—they’re a vital part of staying healthy, independent, and informed. Most are available at no cost when you meet basic eligibility and provider rules. Yet too many patients miss out simply because they don’t know what’s covered, how often they qualify, or how to navigate the system.
With a proactive plan, reliable providers, and the help of an advocate if needed, you can turn Medicare’s preventive care benefits into a real health advantage.

Frequently Asked Questions About Medicare Preventive Service Coverage
What preventive services does Medicare cover for free?
Medicare covers over 40 preventive services at 100%, including mammograms, colonoscopies, vaccines, wellness visits, blood pressure checks, cholesterol screening, and others when provided by participating providers.
Do I need to pay a deductible for Medicare preventive services?
No, preventive services under Medicare Part B are covered at 100% with no deductible or coinsurance—provided you use a participating provider and the service is properly billed as preventive.
How often can I get preventive screenings through Medicare?
It depends on the service. Mammograms are covered yearly, colonoscopies every 10 years (or sooner if high risk), cholesterol checks every 5 years, and wellness visits annually. Some services have stricter frequency or eligibility rules.
What’s the difference between preventive and diagnostic services?
Preventive services are used when there are no symptoms, for early detection. Diagnostic services follow up on a known issue or symptom. Billing differs, and only preventive services are typically covered at no cost.
Can I get all my preventive services during my Annual Wellness Visit?
Not always. Some services require different providers or settings. But your Annual Wellness Visit is a great time to plan and schedule the rest of your preventive care.
What should I do if I’m charged for a preventive service that should be free?
Check with your provider to confirm the service was coded correctly and that they accept Medicare assignment. If an error occurred, request a corrected claim or file an appeal with Medicare.
Are vaccines covered under Medicare preventive benefits?
Yes—Part B covers flu, pneumonia, COVID-19, and hepatitis B (for high-risk patients). Part D covers shingles, Tdap, and other adult vaccines through pharmacies. Coverage depends on your plan and risk factors.
Do Medicare Advantage plans cover the same preventive services as Original Medicare?
Yes, and many offer additional preventive benefits such as fitness memberships, nutrition counseling, and wellness perks. However, provider networks and access rules may vary.
This article is for informational purposes only and should not be substituted for professional advice. Information is subject to change. Consult your healthcare provider or a qualified professional for guidance on medical issues, financial concerns, or healthcare benefits.
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