Blue Review
A newsletter for physician, professional, facility, ancillary and Medicaid providers

August 2018

Preventive Services Reminder: Zero Copay for Blue Cross Medicare AdvantageSM

Are your patients up-to-date on preventive services benefits? Blue Cross and Blue Shield of Texas (BCBSTX) would like to remind you that there are no copays for preventive services for Blue Cross Medicare Advantage (PPO)SM or Blue Cross Medicare Advantage (HMO)SM.  Blue Cross Medicare Advantage covers a full range of preventive services to help keep patients healthy, help find problems early and determine when treatment is most effective. You should let members know which of these services is right for them.

For a detailed list of the services with zero copay, access: Are You Up-To-Date on Your Preventive Services?

Additionally, you should check eligibility and benefits electronically through Availity®, or your preferred web vendor.

Annual Health Assessment Coding*

Code** Service Description
G0402 Initial Preventive Physical Examination Code is limited to new beneficiary during the first 12 months of Medicare enrollment.
G0438 Initial Annual Wellness Visit (AWV) The initial AWV, G0438, is performed on patients who have been enrolled with Medicare for more than one year, including new or established patients.
G0439 Subsequent AWV The subsequent AWV occurs one year after a patient’s initial visit.