Page 15 - ITDR Benefits & Resources guide 2019

MEDICAL PLAN
SUPPLEMENT-TYPE PLAN
MEDICARE ADVANTAGE STANDARD PLAN
MEDICARE ADVANTAGE ENHANCED PLAN
PREVENTIVE CARE
For abdominal aortic aneurysm screening, bone mass measurement, colorectal cancer screening/ services, HIV screening, Sexually transmitted disease (STI) screening, breast cancer screening, cervical/vaginal cancer screening, prostate cancer screening, cardiovascular disease risk reduction visit, cardiovascular disease testing, annual physical exam, “Welcome to Medicare” preventive visit, annual wellness visit, diabetes screening, depression screening, Medicare Diabetes Prevention Program (MDPP), obesity screening/therapy to promote weight loss, screening/ counseling to reduce alcohol misuse, lung cancer with low dose computed tomography (LDCT) screening, medical nutrition therapy, smoking/tobacco cessation.
$0 for most exams and screenings, Medicare lists screenings that require deductible and coinsurance: https://www.medicare.gov/ coverage/preventive-and- screening-services.html.
Coverage for expenses incurred for physical exams, preventive screening tests and services and any other tests or preventive measures determined to be appropriate by the attending physician, not otherwise covered by Medicare: Maximum plan benefit of $120 per calendar year; member pays all expenses over $120 calendar year maximum.
Diabetes Self-Management Training: $0 copay; 10% coinsurance.
$0 copay.
$0 copay.
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Medical Plan