September 2021
Preventive Services Reminder: Zero Copay for Blue Cross Medicare AdvantageSM
We want 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 members. Blue Cross Medicare Advantage covers a full range of preventive services to help keep patients healthy, find problems early and determine when treatment is most effective.
For detailed information about Medicare preventive services, access this PDF
from the Centers for Medicare & Medicaid 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. |
*Codes for Annual Health Assessments are subject to change by Medicare Advantage Organization (MAO), without prior notice to Medical Group, for codes to be consistent with Medicare coding requirements for Annual Health Assessments.
**Any updates, deletions and/or additions to coding shall be updated according to nationally recognized coding guidelines.