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      • ER Alternatives
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      • Member Support & Assistance Program
        • In-home Care from Landmark Health
        • In-home Health Assessments with Signify Health®´
        • Personalized Support for Disease Management
        • Quality Optimizer
        • Additional Programs
      • Mental Health
      • Supporting Caregivers
    • Manage Your Health
      • Managing Diabetes
      • Preventive Care
      • Flu Prevention
      • Chronic Care
      • Fall Prevention
      • Urinary Incontinence
      • Meals and Nutrition
  • Member Resources
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      • Plan Documents
      • Quality Assurance
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      • Ending Membership
    • Pharmacy Benefits
      • Drug Benefits
        • Home Delivery
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Preventive Care

Annual Wellness Visits

Includes personal history, blood pressure, body mass index (BMI), preventive screening, and counseling annually

Cancer Screenings

Title Description
Colorectal Cancer Colonoscopy at age 50 and then every 10 years, or annual fecal occult blood test (FOBT) plus sigmoidoscopy every five years, or sigmoidoscopy every five years, or double-contrast barium enema every five years
Skin Cancer

Annual total skin exam at discretion of clinician

Breast Cancer (Women)
  • Annual clinical breast exam and monthly self-exam

  • Annual mammogram at discretion of clinician

Cervical Cancer (Women)

Initial Pap test at three years after first sexual intercourse, or by age 21 Pap test every 1-3 years, depending on risk factors

Testicular and Prostate Cancer (Men)

Annual digital rectal exam (DRE) or prostate-specific antigen (PSA) blood test at discretion of clinician

Other Recommended Screenings

Title Description
Body Mass Index (BMI)

At discretion of clinician (can be screened annually during yearly wellness exam) Provider may take routine measurements, like height and weight. Learn more

Blood Pressure (Hypertension)

At every acute/non-acute medical encounter and at least once every two years. See how you can take control of your health and manage your blood pressure with these helpful tips.

Cholesterol

Every five years or more often at discretion of clinician; cardiovascular screening blood tests, including blood tests for cholesterol, lipid, and triglyceride levels. 

Diabetes (Type 2)

If your doctor determines you’re at risk for diabetes or you’re diagnosed with pre-diabetes, you may be eligible for up to 2 screenings each year. Learn more

Bone Mineral Density (BMD)

Once every 24 months (or more often if medically necessary) if you meet one of more of these conditions:

  • You’re a woman whose doctor determines you’re estrogen deficient and at risk for osteoporosis, based on your medical history and other findings.
  • Your X-rays show possible osteoporosis, osteopenia, or vertebral fractures.
  • You’re taking prednisone or steroid-type drugs or are planning to begin this treatment.
  • You’ve been diagnosed with primary hyperparathyroidism.
  • You’re being monitored to see if your osteoporosis drug therapy is working.

Infectious Disease Screening

Title Description

Sexually Transmitted Infections (Chlamydia, Gonorrhea, Syphilis, and HPV)

Medicare covers sexually transmitted infection (STI) screenings for chlamydia, gonorrhea, syphilis, and/or Hepatitis B if you’re at an increased risk for an STI. Learn more 

Sensory Screenings

Title Description

Eye Exam for Glaucoma

Every 1-2 years

Hearing and Vision Assessment

At discretion of clinician

Immunizations

Title Description

Tetanus, Diphtheria (Td)

  • Three doses if not previously immunized

  • Booster every 10 years; one booster during adulthood should be with the adult dTaP (tetanus booster with acellular pertussis) vaccine

Influenza Annually
COVID-19 As directed by the CDC

Pneumococcal

Once after age 65, even if previously vaccinated

Hepatitis B

Covered under Medicare Part B for routine diagnosis 

Meningococcal (Meningitis)

One or more doses if not previously immunized, depending on risk factors and other indicators

Blue Cross Blue Shield of Massachusetts is an HMO and PPO Plan with a Medicare contract. Enrollment in Blue Cross Blue Shield of Massachusetts depends on contract renewal. Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are the legal entities that have contracted as a joint enterprise with the Centers for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue MedicareRx (PDP) plans. The joint enterprise is a Medicare-approved Part D Sponsor. Enrollment in Blue MedicareRx (PDP) depends on contract renewal.

You can file a complaint if you feel that you received inaccurate, misleading or inappropriate information. Please call Member Service at 1-800-200-4255 (TTY users call: 711). If your complaint involves a broker or agent, be sure to include the name of the broker/agent when filing your complaint.

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S2893_2244
Last Updated: 01/01/2023

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