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Are Preventive Services Covered under Medicare Advantage Primary Care?

Preventive services are generally covered under Medicare Advantage primary care plans, as these plans are required to provide at least the same preventive benefits as Original Medicare. This coverage includes annual wellness visits, screenings for cancers (such as breast, colorectal, and cervical), immunizations like flu and pneumonia vaccines, bone density tests, and cardiovascular screenings. The goal of these services is to identify health issues early, support overall wellness, and reduce the risk of more serious conditions developing later. Coverage typically includes both the service itself and the consultation with your primary care provider to discuss results and follow-up care.

While Medicare Advantage plans cover these preventive services, the specific details—such as copayments, deductibles, and whether you need referrals—can vary depending on the plan. Some plans may offer additional preventive benefits not included under Original Medicare, such as wellness programs, nutritional counseling, or smoking cessation support. It is important to consult your plan’s benefits guide and speak with your primary care provider to understand which preventive services are covered, how often they can be accessed, and any requirements for scheduling or referrals. Early and regular use of preventive care through Medicare Advantage can help maintain health and catch potential concerns before they progress.