The following changes to our preventive services coverage will go into effect Jan. 1:
- Physical exams for Medicare Advantage members
Starting in 2019, we will only cover the first physical exam claim we receive for the calendar year. If patients undergo another physical exam in the same calendar year, the claim will be denied. We ask our members’ primary care providers and ob/gyns to coordinate care and remind their Medicare patients that they are only covered for one physical exam with no cost-share per calendar year.
- Vitamin D coverage
Starting Jan. 1, we will no longer cover prescription or over-the-counter Vitamin D supplements under the preventive services guidelines for members age 65 or older. This change is consistent with changes made by the federal government.