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- เผยแพร่เมื่อ 2 มิ.ย. 2015
- Get information about how Medicare can help you prevent and detect heart disease.
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Let's get the politicians on medicare instead of their superior coverage and we'll see some great changes in Medicare.
Yes, they got the politicians on this and we lost several benefits. I lost my in home rehab. Get politicians out of it and quit taking our money that we paid in out of Medicare and Social Security.
Every senator and congressman should be fired.
TRUTH!!!
Im thinking every 5 year screening is not enough!!! Thanks for this valuable video.
Medicare Part B (Medical Insurance) covers cardiovascular screening blood tests once every 5 years is wrong. This should be , at least, annually.
Vishnu Bachu Stress caused my a-fib aka Atrial fibrillation aka irregular heartbeat.
I never had a cardio problem and neither did my parents. A while back, I was involved in a 3 year VERY stressful legal dispute. One day I actually felt like a "pop!" In my left chest. From then on I had a-fib.
I have described this to many cardiologist over the years. They all say that can happen but they never heard a patient pinpoint the exact instant that it started. I told them I'm a sensitive type of person and I feel almost everything that goes on in my body. One of them told me that because I was skinny it was easier for me to feel things like that because of few fat layers absorbing the force.
I agree---5 years is way too long!!!!
We are senior, old citizens. I am surprised to hear these important tests only once every 5 years. For young people may be ok, not seniors.
As one diagnosed and being treated for vascular disease, this information is very important for anyone who may think they are "healthy" and have no medical concerns .
Do it every year. Pay the small copay. Be happy, don't complain, you will live longer.
Great videos, So grateful to hear "preventive" and not "Preventative". high quality material. As a new member to Medicare and retired physical therapist, it is very encouraging to know how our government is delivering quality info.
For my two cents, even if you have NEVER had any symptom, get this test. I had zero symptoms - no high blood pressure, no high cholesterol, exercise every day - and I still discovered 5 blocked arteries. DO IT! I dodged bullet, and you can too.
Which test? the CAC?
In Germany you have it EVERY 3 MONTHS including EKG. I came to the US in 1997 and haven't had an EKG in the US at all. The health care system in this country is as bad as in Africa.
Ask for the test (EKG), you will pay for it. Not like Germany's socialized medicine. but then again, I think you forgot that somewhere along the line in Germany, you were taxed for your health care system. Nothing is for free. If you don't like the US health care system, find a country where you are happy with what they offer, then go there.
Why don't you go back?
I see that you are still in the U.S.after 23 years. You must like living on the edge.
There is an obvious reason why the average life expectancy for Americans is the only one among other "developed" countries, that is going down instead of up.
One thing to get used to in the US even after 23 years is that it's an 'I've got mine you can't have any' society. We throw away hundreds of billions for corporate subsidies, war machines, and tax cuts for billionaires but when it comes to taking care of each other we've been brainwashed by those corporations and billionaires that it's bad so we don't.
My PCP does a 'Wellness' visit every year, which is primarily a chat with an office 'nurse'. They do height, weight, B/P, ask a whole lot of questions whose answers don't change much from year to year. Then they order blood tests for thyroid, cholesterol, kidney and liver function and to check for diabetes. Then they set up an appt to review those tests with a 30 minute PCP about a week later. Every year. Same thing. I thought this was going to be ultrasound info or at least an EKG!!
The annual "wellness" appointment has in my experience been a complete waste of my time and my drs.
That is great, but you can probably get him to order the tests before that appt. and have the results the same appt as the wellness visit.
Switching to a plant-based diet about 10 years ago helped me reverse a lot of ailments.
If this standard protocol for an annual physical is only covered every 5 years, it is NOT preventative. I am new to Medicare. Based on the other comments, it is covered in an annual physical. I'm confused. They did a poor job of explaining this.
Sharron May
Your annual “ wellness” check is NOT what you would assume to be a traditional physical. It is essentially an interview to determine if you have risk factors and / or specific symptoms that require further diagnosis. Things like urinalysis, basic cholesterol check , ekgs, etc become dependent upon 1) risk factor and 2) symptoms. My primary care physician has urged me to look at buying specific diagnostic screenings so that she has a baseline or an established need for further labs that MediCare will pay for. It all boils down to don’t assume that your doctor is going to be able own your preventive care. That’s up to you and most likely will be out of pocket .
Sharron May Welcome to the great world of socialized medicine (sarcasm intended).
The reality is that Medicare never declines to pay for a cholesterol or BP check if it is coded as something other than preventive. What this video is showing is that if the doctor codes this as a patient with no risk factors and the test is done only as a screening then they will pay for it every 5 years. Virtually every doctor knows this and when he orders a cholesterol check, uses a diagnosis that it is known that Medicare will accept. The annual Medicare “wellness” visit covers an annual BP check in a patient with no diagnoses. A patient with BP issues or cholesterol issues can be measured and covered by medicare as needed. Prior to the annual wellness check (which is not a “physical”) Medicare has never covered a visit in an otherwise healthy patient if it is coded only as a “checkup” For this reason most doctors would never code it as a check up.
Have to know how to work the system ...seems to be the way of the world. Don’t “bypass” getting tested no matter the cost as it will pale in significance to the pain and cost of a bypass surgery.p or worse.
Most intelligent response here - the video does a poor job of explaining this.
Thank you for the information.
Thank you for putting together the information/video. Helpful
Every senior should have the coronary artery calcium scan as that is the best predictor of a future cardiac event. Insulin resistance is the leading cause of heart attack. Checking one's insulin level after eating is a good indication of cardiac risk and metabolic disease.
Two other risk factors should be added: heredity and stress.
Lowering stress is definitely an important one to work on.
Good addition. My parents both died of coronary disease and it alerted me to be aware. We have high blood pressure. I had the screenings found good medications and have controlled HBP for several years. Also, I walk 2 miles a day with my dog (a great stress reliever) and am a vegetarian. I am no 73. My mother died at 75.
@@catflower2018 easy to say and very hard to do. :(
They covered most of the "heredity risk" with "high cholesterol."
Major risk factor: devouring animals, which is almost like hereditary (culture, being brought up and fed unhealthy diet and habits).
It's not the LDL that's killing you, it's inflammation in the body. A blood test for C Reactive Proteins (CRP) shows how much inflammation you have in your body and provides the risk factor for heart attack and stroke.
Half (that is, one-half) of all heart attacks and stroke happen in people with NORMAL cholesterol (that is, these people do NOT have high cholesterol). Statins only reduce your chance of heart attack and stroke by, maybe, 1-2 percent, but one of the side effect of statins is that you will become diabetic and diabetes puts you at an even GREATER risk for heart attack and stroke
THE Ketogenic diet works on reducing the inflammation in your body ~ and your lower CRP reduces your risk of heart attack and stroke ~ KETO IS LIFE
Theresa Walker its also a high LP (a) reading. It’s very dangerous and most doctors won’t even check it unless you ask for it.
My doctor orders blood tests every 6 months since I suffered a heart attack. One of the panels is to check on certain functions due to taking statins and BP meds. The other is a full lipid and PSA. I had surgery for prostate cancer. All I know is that I have supplemental insurance that pays for what ever Medicare doesn't. (so far, anyway). Who can figure this stuff out? It takes a lot of time and research to understand the billing process. Quite the fiasco.
This is direct from Medicare.gov:
“Cardiovascular disease screenings
Medicare Part B (Medical Insurance) covers cardiovascular screening blood tests once every 5 years.
Your costs in Original Medicare
You pay nothing for the tests if your doctor or other qualified health care provider accepts assignment.
Note
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.”
Full medical care for all.
I agree with you. For example, in the prostate case you are allowed a preventive (screening) check once/year; however, your PCP needs to specify (by using a different code) that more frequent tests are required to monitor for recurrence of cancer, at least for the first five years. The fact that Medicare is paying for additional tests means the PCP or lab is using the appropriate coding for you. In my case I had to appeal and that took a long time even though I submitted several papers discussing the additional needs and available case law on the subject.
@@lkingsley9095 p
Much of what is mentioned here is included in an annual wellness check-up that includes analysis of the blood.
I was diagnosed with high cholesterol 11 years ago. Is this video telling me that my cholesterol is only going to be checked and paid for by Medicare every 5 years? This would be the opposite of taking care of your heart.
I think the video is confusing. My doctor checks my BP every time I go in and insists on cholesterol check once a year, and Medicare covers it. Maybe the five year thing is referring to more in-depth tests?
That is NOT what is said at all. What has happened to this country that everyone is so quick to be malcontents and unable to understand a clear message? If you were diagnosed 11 years ago you should have been on 6 month checks after being told what to do to lower your cholesterol. This video clearly reminds you that you should also have a comprehensive 5 year exam.
@@DeathRowContestant A comprehensive what every five years? Doesn't say. Everyone gets their BP checked at each Dr visit and yearly blood work includes sugar and Chol tests. This video gives no useful information.
@@DeathRowContestant Don't be such a know-it-all and so quick to judge people. What the five years means here is not at all clear to me and I have advanced degrees and am a professional editor. What about ordinary people? The majority of people in this country who do not have advanced analytic skills and/or already understand the basics underlying the minimum facts asserted in this video? I am not a malcontent, but you are a grumpy, a bad-tempered person with no patience or empathy. Calm down and try to see things from other people's perspectives.
S L What?
Unless you have "familial hypercholesterolemia" a cholesterol test is at best subjective, or worst misleading. Unfortunately most doctors, and nurse practitioners only look at total cholesterol, which is useless for predicting heart disease. Check out the many TH-cam videos on the subject, you'll be surprised with all the new research on diet, and cholesterol issues. Cut back on junk food, and foods that causes inflammation, you'll be on your way to better overall health, and weight loss.
I have a aortic anuerysm ,and i can't excercise because i'm limited on how much weight i can lift or i can tear the aortic wall and then i will need emergency surgery,medicare needs to cover more heart tests and we shouldn't have to pay extra money for the tests we need. I had a Cat Scan at my authorized hospital and now i'm responsible to pay $160.00 out of my pocket. This is not fair, if i were super rich i wouldn't have to pay a penny. I worked hard all my life for what,you take away more than you give.
Why hasn't been surgically repaired? Then you can get on with your life!
This is good information to know.
if nothing else the vid sparked a barrage of passionate comments.....
Thank you for this.
Yes take steps...movement good nutrition and avoid toxins.
Everyone can do yoga breath awareness and stretches to feel better everyday! :)
If you have High Blood Pressure or cholesterol Problems, and your Dr feels they are a matter of More than normal concern, the tests he orders to monitor them Will be Covered. This is Talking about Normal Testing done with people who may only have a slight problem, or none at all. It's NOT saying that your testing more often wouldn't be covered. What I was looking for that it didn't say, was what it shows in my email, the Dietary fruits and veggies etc. Due to allergy and other Medical Problems I can't eat them all. But they should have shown that part too.
Great to know. Thanks
I agree with Jane Bridge's comment. Also, this is all about making money for the insurance companies and not about providing the necessary services for the insured. $$$
Two great source of nutrition information are PCRM.Org and NutritionFacts.Org. They are science-based non-profits that refuse corporate sponsorship or advertisements in order to maintain the public's trust. I personally know the founders of both organizations and have benefited from their decades of research, lectures and writing.
Thank you for sharing these valuable links.
Excellent. Thank you. I knew about nutritionFacts - but not pcrm.org. Appreciate it. I adopted the plant based diet after the angiogram showed 5 blocked arteries. I had NOT had high blood pressure or high cholesterol. Just eating meat and dairy will kill most of us.
@@CLS797 unless it is 100% grassfed (vs. grain-fed) and high in CLA, a nutrient that dissolves arterial plaque. Feeding the animals an unhealthy diet that makes them sick makes us sick.
Isn't cardiac health screening included in the annual physical?
At my last "Wellness Check" the doc ordered blood work, checking for these things. Neither Medicare or my insurance would pay for it (insurance won't pay if Medicare won't), even though they paid for my husband's. When I asked why, they said it was because he HAD pre-existing conditions. What......if they don't test, how will they know if I have issues or not. So much for prevention.
How will I know if I have a ABA America
On the Medicare.gov internet site, it states the screening is a blood test for cholesterol, lipid, and triglyceride levels. Nothing else. Edited to add: These blood tests should be covered under annual physical.
Need an Aortic heart valve replaced, lots of tests, is the mouth and teeth inspection for infection before procedure covered?
Thanks
I went for a electro cardio graham last year. Showed I had a minor value leak. No big deal. I switch from a advantage plan to a supplemental plan with AARP United Healthcare. They put me into Tier 2 because of it and raised my premium $200 a month over what I was quoted.
Richard AARP is a big rip-off I pay my own 20% I was in the hospital 6 days I got a bill 4 $13.000 called the Medicare they told me my 20% was only $3.524so I start sending them $100.00 a month after 7 months they called me & said if I paid them $300.00 more they would call the bill PAID IN FULL as long as you pay something their is nothing they can do..
John R I thought about that but what if you have a major issue and it’s like $500,000 and you have to pay $100,000. The fact that United Healthcare only has to pay the 20% and they’re bilking me is what annoys me the most.
Richard Medicare always sends you a copy of what they paid these hospital's rack up the bill if the bill is $500.000 they only pay maybe 15-20 % I once had a bill they had me in ICU & all other kind of procedures I called the Medicare & told them I was NEVER in ICU what happens people never ck their bills Medicare told me more people need to pay attention & report their stay. I had Lasik done on both eyes they sent me a bill for $825.00 I called Medicare she told me my part was only $172.00 if you ever have any questions ALWAYS call Medicare & if the provider as any question call Medicare period..
Richard their ripping you off period you think they love you no way only your $$$$$$$$$$
Richard, AARP the biggest rip off known to about 40 Million members.I wrote them about the theft on our Social/Security system as they have a large LOBBY and maybe get a lock on the account stop all the IOU's worthless from a list of our politicians. No response. Social/Security going BROKE !! check that out. ARRP all about KICKBACK'S. I was member years ago and bought a New York life policy.can not tell you what that cost but any info. on my policy must go thru AARP. To bad about our Seniors.Art
not sure a screening is the best thing. Rather just do healthy behaviors including avoiding the drugs that have adverse effects as they "control" the problem that healthy behaviors might better do.
Yes Yes....movement good nutrition and avoid toxins!
That comes with a yearly wellness check, not sure why th 5 year thing?
Tom that’s because they’re hoping we’ll die before we have too many of them
Is this same a stress test? My doctor does a 'walking on treadmill with attachment to monitor my blood pressure, heart rate, etc?
No, this video is not discussin a stress test. This is a blood test for chloresterol.
If you have medicare you should be checked by your doctor every 3 month's for blood pressure, blood test for several things including cholesterol and meds reflilled. Problem with many is they want something for nothing. Want more options then get supplemental insurance coverage
We need help to get our heart medicine at a decent price Toni Hart
THANK YOU FOR THE INFORMATION. INGRID M.
Why are yelling (all caps) just adjust your font.
Medicare Part B (Medical Insurance) covers cardiovascular screening blood tests once every 5 years.
Your costs in Original Medicare
You pay nothing for the tests if your doctor or other qualified health care provider accepts assignment.
Note
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.
Misleading video, but what do you expect from the government? If you have previously been diagnosed with HBP, high cholesterol, triglycerides, etc. then you can get tested more frequently as your doctor decides. Whether Medicare will pay depends on how the doctor codes the procedure. It must be coded as medically necessary.
The evolving health care to a socialized system. I have 2 high risk factors, HBP/lipids, worked a stressful job (tractor trailer driver) for 47 years. 5 years for everybody, Really? Work and pay your whole life. When you stop working, pass away sooner than later so your not a burden. Your politicians aren't on medicare, or Socialized security are they?
No, they're not. But I think it would be wise if all of Congress and the President were on the same health care systems the teachers or plumbers & sanitation workers are on! We'd all see an immediate change in the legislative focus on this issue.
Actually if they are over 65 I think they are. And if they are under they get government health care.
I am not in Medicare coverage yet, however with all these concerning stories That I am reading about, it really scares me.I had a stroke in 2018, had two cancers in same year till September of 2019, had a massive surgery, that was misdiagnosed, ( I should not have surgery) and once every few months completely blacking out, going to ER, one doctor says if from my heart, one says because of chemo, and everyone passing the buck to another doctor. spend thousands of $$ for all these procedures, with no result, so therefore I am wondering how does the Medicare will cove all these expenses, by having screening every five yes. This is a joke , I will be dead by then. Anyone has a suggestion please?
Too bad they can't design a cholesterol med that doesn't have the side effects of possibly bringing on diabetes. I think this med is what brought on the diabetes in my mother but since she has passed on, I can't verify this. Therefore, I have declined a cholesterol med and will just take my chances. Or at least test what people this my happen with as some in my family don't have this problem. I did have a relative that died from diabetes so getting it is no joke to me.
Me gustaría que la información sea en español
es.medicare.gov/coverage/cardiovascular-disease-screenings?
I can't view the Video. That is too bad. Maybe next time.
No sound
I believe Stress is the number 1 factor causing Heart Disease in this country. The others are small contributors!!
Well there's belief and there's science. Personally, I'll go with the science.
No, for the vast majority of people it's the food.
Helpful
I don't understand the five-year either
Yes, why not annually? Really!
Maybe if my 73 year old brother had the screening 5 years ago he wouldn’t have 12 blockages now.
How about vapeing ?
It's very bad for you. Just as bad as smoking. Stop all forms as fast as possible. Get help if needed
I'm surprised,because there's no heat, nicotine or tar in them. Just water vapor and flavoring. But I'll take it to heart.@@lindacontois1094
@@lindacontois1094 Vaping does not have the additives that cigarettes have. This in itself is a step in the right direction. It has not been proven that it is as bad as smoking.
@@dianecarriker852 nicotine in Vape products are as bad or worse than cigarettes
Why is that?
So I have mast cell disease. I am overweight. The new study about those with mast cell problems and weight points to the mast cells dumping a thyroid hormone that makes your body store more fat. You said that obesity was easy to solve. Please tell me the magic secret cuz I have cut my intake of food down to about 1,000 calories a day and am still gaining weight. If not then please edit your video.
This is very weird. What are they covering every five years? Does this mean they are not covering getting my blood pressure read and including cholesterol in blood work every year? This ad is nonsensical since it does not address anything outside of what is done normally in an annual exam. Why not make a useful video with our money explaining the new cholesterol levels and the other tests?
Marcie McClure regular check ups are covered through your primary care physician on a regular visit. Tell them all your problems. Eat 4 small balanced meals daily, and have a longer healthier lifestyle.
Good question!
The add is for a cardiovascular screening every five years. If you have nothing good to say, don't say anything.This ad made a lot of sense. You're the only one that said it didn't.
You need to watch it again. It clearly outlines what the five year exam covers outside your annual exam.
I learned a couple of things. If I want to know more they told me where to go and find info. Not everyone gets a physical every year. This is a good heads up! It surprises me that someone would complain on a public forum about a government video they didn't have to watch.. It also says if you have questions, ask with your doctor, but for reasons of your own, you bring sarcasm with your questions. Go ask your doctor what what's being checked yearly. @@DeathRowContestant
If any body going through pace maker, cardiovascular disease , High BP, or any heart issue , i can help them to get test without cost
#
So general and obvious. Not helpful at all.
This video told me nothing new. I am sick of hearing about diet and exercise. A lot of risk is genetic. I get checked often. Where did they get every 5 years? For people over 65 that's not prevention! Who vetted this video? Medicare - you can do better!
Consider yourself lucky to be on Medicare, and not on Obamacare.