Does Medicare cover obesity screenings and counseling?
Medicare Part B (Medical Insurance) covers obesity screenings and behavioral counseling if you have a body mass index (BMI) of 30 or more. This counseling may be covered if you get it from your doctor or other primary care practitioner in a primary care setting (like a doctor’s office).
Does Medicare cover personalized prevention counseling?
Medicare covers this counseling if your primary care doctor or other qualified provider gives the counseling in a primary care setting (like a doctor's office), where they can coordinate your personalized prevention plan with your other care.
What does Medicare Part B cover?
Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services. covers obesity screenings and behavioral counseling to help you lose weight by focusing on diet and exercise.
What is original Medicare?
Your costs in Original Medicare. An agreement by your doctor, provider, or supplier to be paid directly by Medicare, to accept the payment amount Medicare approves for the service, and not to bill you for any more than the Medicare deductible and coinsurance. .
What is part B in behavioral therapy?
Obesity behavioral therapy. Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services. covers obesity screenings and behavioral counseling if you have a body mass index (BMI) of 30 or more.
Does Medicare cover counseling?
Medicare covers this counseling if your primary care doctor or other qualified provider gives the counseling in a primary care setting (like a doctor's office), where they can coordinate your personalized prevention plan with your other care.
How many people on Medicare are obese?
Over 30% of both men and women in the Medicare population are estimated to be obese. Obesity is directly or indirectly associated with many chronic diseases, including those that disproportionately affect racial and ethnic minorities such as cardiovascular disease and diabetes.
Does Medicare cover preventive services?
The Centers for Medicare & Medicaid Services (CMS) today announced that Medicare is adding coverage for preventive services to reduce obes ity. This adds to Medicare’s existing portfolio of preventive services that are now available without cost sharing under the Affordable Care Act.
What are the factors that affect coverage of G0447?
In addition to the face-to-face and time requirements, coverage of G0447 and G0473 depend on several other factors, including diagnosis, provider type, and frequency.
Does Medicare cover behavioral counseling?
Medicare covers face-to-face behavioral counseling for obesity for qualified beneficiaries. The services must be delivered either one-on-one (patient and counselor), or for groups of up to 10 individuals.
Decision Summary
The Centers for Medicare and Medicaid Services (CMS) has determined the following:
Decision Memo
The Centers for Medicare and Medicaid Services (CMS) has determined the following:
Bibliography
http://www.uspreventiveservicestaskforce.org/uspstf/grades.htm U.S. Preventive Services Task Force, Grade Definitions.