Social determinants of health risk assessment
Medicare Coverage Information
Overview
Medicare offers coverage for social determinants of health risk assessments to help identify non-medical factors that may impact a patient's overall health and healthcare outcomes. These assessments can help healthcare providers develop more comprehensive care plans.
- Identifies social and economic factors affecting patient health
- Typically conducted during annual wellness visits
- Helps healthcare providers create more personalized care strategies
- Covers screening for factors like housing, food security, and transportation
- Medicare Part B beneficiaries
- Patients who have had Medicare for more than 12 months
- Individuals participating in annual wellness visits
- Typically covered at 100% with no out-of-pocket costs during annual wellness visit
- No additional copayment or deductible for the assessment
- Must be performed by a qualified healthcare provider
- Limited to once per year during annual wellness visit
- Screening must be deemed medically necessary
- Discuss social determinants screening with your primary care physician
- Schedule an annual wellness visit
- Prepare to answer questions about your living conditions, support system, and daily challenges
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicaresocial determinants of healthhealth risk assessmentpreventive carehealthcare screening
Related Coverage Topics
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