Cardiovascular risk assessment & management services
Medicare Coverage Information
Overview
Medicare provides coverage for cardiovascular risk assessment and management services to help beneficiaries prevent and manage heart-related health conditions. These services typically include screenings, counseling, and preventive interventions designed to identify and reduce the risk of cardiovascular diseases.
- Annual cardiovascular risk screenings for eligible Medicare beneficiaries
- Includes blood tests, cholesterol screening, and risk factor assessments
- Covered under preventive services with typically no out-of-pocket costs
- Screenings help detect potential heart health issues early
- Counseling and lifestyle modification recommendations included
- Medicare Part B beneficiaries
- Individuals with risk factors for cardiovascular disease
- Patients with a referral from primary care physician
- Age 40 and older typically recommended for comprehensive screenings
- Most preventive cardiovascular screenings are covered at 100% with no copayment
- No deductible typically applies for preventive cardiovascular services
- Additional diagnostic tests may have standard Medicare Part B coinsurance (usually 20%)
- Must be performed by Medicare-approved healthcare providers
- Screenings must be deemed medically necessary
- Frequency of screenings may be limited (typically annually)
- Some advanced diagnostic tests might require additional documentation
- Consult with your primary care physician about cardiovascular risk assessment
- Schedule an annual wellness visit to discuss heart health screening
- Review your specific Medicare plan's preventive service coverage
- Call 1-800-MEDICARE for detailed coverage information
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare cardiovascular screeningheart health assessmentcardiovascular risk managementMedicare preventive servicesheart disease screening
Related Coverage Topics
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