Tag Archives: wellness visits

Wellness Visits to Prevent

Vantage Point: Wellness Visits – Well Worth Your Time

Every spring I look forward to taking my horse for a checkup. I like to hear how healthy and well taken care of he is. I cannot say I feel the same about taking time from my busy schedule for my own yearly wellness visits. Still, as I read my recent screening results and compared them to last year, I saw my scores got better. That makes me feel good about taking care of myself.

I also like the quality time I get with my doctor compared to more urgent visits when I’m sick. During the wellness exam, doctors really take the time to ask how you feel, talk about concerns and help you set health goals to help keep problem visits at bay.

Health Alliance Medicare plans cover wellness visits at no charge. Our plans also cover the routine screenings that are right for your age and gender. Please note, though, that if you bring up a problem during the wellness visit and your doctor treats or helps you deal with that problem, you might have to pay for the visit. Remember, your health is most important, so don’t be afraid to share concerns with your doctor, just be aware that doing so could change the visit from a wellness visit to something else.

Wellness (also called preventive) visits change when you move to Medicare. Medicare covers a “Welcome to Medicare” exam within 12 months of getting your Medicare Part B benefit and an annual wellness visit after that. Be sure to say you have Medicare when you schedule the exam so it is billed correctly.

Health Alliance Medicare supports members not just when they’re sick, but throughout their lives, and focuses on prevention by covering the wellness exams, immunizations, and disease screenings you need. In addition, Health Alliance Medicare may offer you a free health risk assessment with our nurse practitioner, right in the convenience of your own home. If so, I encourage you say yes to this important and free part of your coverage.

Like I do with my horse, sometimes we take care of others better than we do ourselves. But early detection of health problems through a wellness visit can save your life. The time is well worth it.

Essential Health Benefits: Get More for Your Money

Upgrading to the Meal

That glorious moment when the server at a restaurant clarifies that your meal comes with a drink … not for an extra cost, but with. Wow, what a moment. As of January 1, 2014, your health insurance plan comes with Essential Health Benefits.

If you’ve been a Health Alliance member before, we’ve covered many of these benefits for years, so you won’t see or feel much change. But if you’re new to us, welcome and enjoy!

Essential Health Benefits stretch across 10 categories. By law, no matter your age, gender, or medical history, you’re covered in these 10 areas.

Essential Health Benefits

Details

Ambulatory Patient Services Care you get at a doctor’s office, clinic, or outpatient surgery center, including home health services and hospice care.
Emergency Services Care provided in an emergency situation where you believe your health is in serious danger, like chest pain, a broken bone, or unconsciousness.
Hospitalization Care from doctors, nurses, and hospital staff, room and board, surgeries, and transplants you receive during your hospital stay, or care in a skilled nursing facility.
Laboratory Services Testing to help a doctor diagnose an injury, illness, or condition, or monitor how well a treatment is working.
Maternity and Newborn Care Prenatal care through newborn care.
Mental Health Services and Addiction Treatment Inpatient and outpatient care to treat a mental health condition or substance abuse.
Rehab Services and Devices Services and devices to help you regain mental and physical skills lost because of injury, disability, or a chronic condition.
Pediatric Services Wellness visits and recommended vaccines and immunizations for infants and children, as well as dental and vision care for children under 19 years old.
Prescription Drugs Antibiotics and medicines to treat an ongoing condition, like high cholesterol.
Preventive and Wellness Services and Chronic Disease Treatment Physicals, immunizations, preventive screenings, and care for chronic conditions, like asthma and diabetes.

*Some services do have limits.