When you have your health, you have everything.
Preventive care is one of the simplest and most important steps
you can take on your Road to Wellness.
Annual Wellness Visit
Start your journey with your Annual Wellness Visit and develop a personalized plan for your health.
Medicare pays for this visit every 12 months.
At your Wellness Visit your Primary Care Provider will:
- Review medical and family history
- Update a list of your current providers and prescriptions
- Take height, weight, blood pressure, and other routine measurements
- Detect any cognitive impairments
- Offer personalized health advice
- Go over risk factors and treatment options for you
- Schedule appropriate preventive services or screenings
Did You Know?
By getting routine exams, screenings and shots, you are likely to stay healthier and independent longer, and avoid or delay the onset of illness down the road. Even better, all Medicare preventive care benefits are fully covered so you have no out-of-pocket costs.
Annual Physical Exam
A routine Annual Physical Exam is covered once per calendar year. This is in addition to the Annual Wellness Visit, or if you are new to Medicare, the “Welcome to Medicare” visit. The annual physical exams include a more comprehensive hands-on age & gender appropriate examination than the Annual Wellness Visit. Services in an annual physical exam include:
- Bodily systems examination, such as heart, lung, head and neck, neurological, musculoskeletal, gastrointestinal and psychological
- Measure and record vital signs, such as blood pressure, heart rate and respiratory rate
- Complete prescription medication review
- Review of any recent hospitalization
- Counseling, anticipatory guidance and care of a small problem or pre-existing condition that requires no extra work
Take the PCP Visit Summary form to your next appointment. This form lists important preventive screenings you should discuss with your Primary Care Provider (PCP). Have your PCP complete the form, sign it and sent it back to us by email, fax or mail. See contact information below.
If you don’t know where to start your journey, take our Health Risk Assessment (HRA). If you have not completed a Health Risk Assessment in the last 12 months please click here to print the form. Return completed forms to us by email, fax or mail. See contact information below. The results are confidential and will only be shared with your provider.
Mail: RiverLink Health - Quality Department/Processing Center
P.O. Box 27510
Federal Way, WA 98093
Have You Received Your Preventive Health Screenings This Year?
If you are unsure you can request a list of preventive screenings recommended specifically for you. Request your free screening assessment by emailing us at Quality@RiverLinkHealth.com or call Customer Service at 1-866-329-3970. Once you receive the list, schedule an appointment with your Primary Care Provider (PCP) to get them completed.
Do you want to change your PCP? Use our Provider Search tool to find a new provider in your area or call Customer Service at 1-866-329-3970, It’s that easy!
Did You Know?
It is important to have many of these screenings every year? Click here for more information on screenings recommended by Medicare.
(This link will take you to a new website)
Below is a map that guides you along the rest of your preventive care journey.
Click to download image.
Colorectal Cancer Screening
Sixty percent of colorectal cancer deaths can be avoided with routine screening says the Centers for Disease Control and Prevention. Colorectal cancer is the third most common cancer in men and women. Medicare covers colorectal cancer screening tests to help find pre-cancerous polyps (growths in the colon), so polyps can be removed before they become cancerous. These screening tests help find colorectal cancer at an early stage when treatment works best. Thankfully, when it comes to being screened for colorectal cancer, you have options. Ask your doctor to explain these tests and to discuss which screening may be best for you. Options include:
- Fecal occult blood test - every year
- Flexible sigmoidoscopy - every five years
- Colonoscopy - every 10 years
- CT Colonography - every five years
- FIT DNA test - every three years
Click here to download and read our latest informative article on colorectal screening.
Did You Know?
That if you haven't had one of these tests your health plan covers a free in-home Colorectal Cancer screening test? Request a free stool test kit by emailing us at Quality@RiverLinkHealth.com or give us a call at 1-866-329-3970.
Results of your screening will be shared with you and your Primary Care Provider (PCP)
To learn more about Colorectal Cancer, click here.
Diabetes puts you at higher risk of glaucoma, kidney disease, high blood pressure, heart attack, stroke, blindness and other serious complications. If you have diabetes, ask your doctor about these important tests & how often you should have them; many experts recommend:
- Hemoglobin A1C – Having your A1C checked at least two times per year if stable and at goal or every three months if treatment has changed or if value is not at goal
- Lipid Profile - Check your cholesterol every year
- Urine and blood tests - to monitor kidney Function*
- Eye Exam by an Eye Care Specialist - Have a dilated eye exam every year. Diabetic retinopathy can lead to blindness.
- Foot Exams - to check your feet for open wounds
* If you are eligible for an in home bone scan or eye exam you can also have these tests done at the same time.
Did You Know?
That if you have diabetes and have not had an eye exam by an Eye Care Specialist
you are eligible for an in-home diabetic retinal eye exam at no cost to you? To schedule an appointment give us a call at 1-866-329-3970.
To learn more about Diabetes, click here.
Osteoporosis, or low bone density, causes more than 2 million fractures every year. There normally aren’t any warning signs, which is why an osteoporosis screening (a painless test similar to an X-ray), is so important. According to a new study, many people aren’t getting the osteoporosis screenings they need. And others are having screenings they may not need.
Many Fall Short on Bone Density Screenings.
A study published in the Journal of General Internal Medicine found that about 40 percent of the women ages 60 to 65 who participated were at high risk for osteoporosis and were not screened. The government recommends all women ages 65 years of age or older and also others at high risk be screened for osteoporosis. Talk with your doctor to learn whether you need an osteoporosis screening. Medicare covers a screening every two years or more frequently for people who qualify.
Risk factors for Osteoporosis include:
- A family history of osteoporosis or fractures
- A previous high-risk bone fracture
- Alcohol abuse
- Glucocorticoid (steroid) use
- Low body weight, relative to height
- Rheumatoid arthritis
What to do After a Fracture?
We recommend that you schedule an appointment with your Primary Care Provider to discuss fracture prevention, and consider the following recommendations for women 67 years or older who have had a fracture:
- Complete a bone mineral density test within six months of having the fracture and/or
- Fill and take the prescribed osteoporosis medication, if deemed appropriate.
Did You Know?
That if you are a woman that has had a fracture in the last 6 months, age 67 - 85 and have not had a bone density screening you are eligible to receive a bone mineral density test in the privacy of your own home at no cost to you? To schedule an appointment give us a call at 1-866-329-3970.
Are You Up-to-Date on Your Vaccinations?
Vaccinations are a safe and simple way to prevent serious illness. With your Medicare coverage, they are also cost-effective.
A flu vaccine is still the best way to prevent infection and the complications associated with the flu. But annual re-vaccination is necessary because the flu viruses change each year. RiverLink Health provides coverage for a flu shot each year free of charge at most local network pharmacies and doctor offices (visit copay may apply). Check with your pharmacy today to see when you can get your flu shot!
Recommended Vaccinations for Adults
- Flu Shot
- Hepatitis A, treatment for exposure
- Hepatitis A, preventative
- Hepatitis B, for those at high or intermediate risk
- Hepatitis A, preventative
- Rabies, treatment for exposure
- Rabies, preventative
- Tetanus, treatment for exposure
- Tetanus, preventative
- Tuberculosis, treatment for exposure
- Tuberculosis, preventative for travel
- Other preventative vaccines, including: shingles (zoster), yellow fever, measles/mumps/rubella (MMR), tetanus/diphtheria/pertussis (DTap), and polio
Refer to the “Vaccines” section of our formulary for a full list of vaccines and coverage details.
Page Last Updated: June 18, 2018