Family Health Care of Ellensburg

107 E Mountain View Avenue

Ellensburg, WA 98926

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Preventive Care

WHY PREVENTIVE CARE IS IMPORTANT

Clinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s health. These services both prevent and detect illnesses and diseases—from flu to cancer—in their earlier, more treatable stages, significantly reducing the risk of illness, disability, early death, and medical care costs. Yet, despite the fact that these services are covered by Medicare, Medicaid, and many private insurance plans under the Affordable Care Act, millions of children, adolescents, and adults go without clinical preventive services that could protect them from developing a number of serious diseases or help them treat certain health conditions before they worsen.

DOCTOR RECOMMENDED 

Clinical preventive services offer tremendous opportunity to save years of life and to help people live better during those years. Moreover, science-based prevention can save money—and provide high-quality care—by helping people avoid unnecessary tests and procedures. Evidence-based preventive services are effective in reducing death, disability, and disease, including:

  • Certain cancers, such as colorectal cancer, breast cancer, and cervical cancer

  • Chronic diseases, such as heart disease and diabetes

  • Infectious diseases, such as influenza, chicken pox, and pneumonia

  • Mental health conditions and substance abuse

  • Vision disorders

Say Yes to

Preventive

Healthcare!

Stay one step ahead of diseases

The best way to lead a healthy & happy lifestyle is to ward off diseases before they even exist. 

Routine, ongoing pediatric care is essential for children.

 

Regular checkups are key for everything from maintaining your child's immunization schedule, to tracking growth, to fending off childhood disease. 

WELL CHILD CHECKS

There’s no greater peace of mind than knowing that your child is thriving and healthy. Family Health Care offers routine visits, called Well Child Check-ups, from the first month of your child’s life through their teens. These check-ups are the best way to monitor your child’s health and build a strong connection with your pediatrician. The visits typically include a physical exam, as well as growth monitoring, developmental screening, immunizations, and expert guidance. 

SPORTS PHYSICALS FOR SCHOOL, SPORTS & CAMP

Whether it's a sports team, a summer camp, or enrollment in a new school, participation in activities and programs typically requires a clean bill of health. We're here to help! 

Please complete required program or school forms and confirm deadlines before scheduling an appointment, as requirements do vary by program and school district.

 

ADULT ANNUAL WELLNESS VISITS

Annual Wellness Visits are recommended for all adults. Most health insurance plans cover the cost (including co-pay) of a yearly preventive health care visit – otherwise known as your wellness visit. Not all insurance coverage is the same; you can find out more about your coverage by contacting your insurance company.

Generally, insurance companies cover a predetermined list of components that are considered part of your wellness visit. For example, during your wellness visit, you may expect that your provider will do the following:

  • Gather or update your comprehensive medical history

  • Outline plans for the reduction of risk factors

  • Provide interventions or counseling to improve overall health

  • Order screening laboratory and diagnostic procedures based on your family medical history and your personal age and gender-based risk factors (such as a mammogram, colonoscopy or cholesterol screening)

  • Manage minor health concerns

“Minor health concerns” include the following and other similar concerns:

  • Obtaining a refill for a prescription for certain chronic medications (allergy or birth control, for example)

  • Asking your provider to pay special attention to a skin lesion during your wellness visit

More specific health concerns may not be covered by your insurance as part of your wellness visit. These are concerns that would normally prompt you to schedule an appointment if you were not scheduled for your wellness visit. If time does not permit, we can schedule a separate appointment. If time permits, one or more of these concerns may be addressed at the time of your wellness visit; however, it may be appropriate, according to your insurance guidelines, for FHC to generate a charge for an office visit, which would include a co-payment. If you have an annual insurance deductible you may be responsible for the entire balance of the office visit charge.

Following are some examples of specific health concerns that may not be covered as part of your wellness visit (please note this is not an all-inclusive list):

  • A sinus infection

  • Sore throat (and testing for strep)

  • Cough

  • New or changed headache pattern

  • Abdominal pain

  • Pelvic pain

  • Depression or anxiety

  • Joint pain, both specific and general

  • General fatigue

  • Sleeping problems

  • Irregular periods

  • Significant changes in status of chronic health problems

  • Complex chronic health problems (such as Diabetes, High Cholesterol, High Blood Pressure, Thyroid Problems, Asthma or Migraines)

 

If you have concerns about whether a charge for an additional office visit will be generated, ask your health care provider for more information.

Make your appointment today.

 

MEDICARE COVERAGE OF PREVENTIVE VISITS-KNOW THE DIFFERENCE

 

You know you’re supposed to get a physical exam every year, but did you know that Medicare doesn’t cover what you might think of as a traditional physical exam?

 

Medicare does cover other types of preventive care to help you stay healthy and prevent illness. One of the more confusing areas for both patients and physicians alike center around the difference between each type of visit and what is included in each.

 

Here’s a breakdown of the 3 types of visits and services Medicare covers and does not cover. Before you make your next appointment, make sure you know what you’re getting—and what you’ll pay. 

 

1. If You’re New to Medicare (Part B)

“Welcome to Medicare” Visit—COVERED Your Estimated Cost: $0.00
 
Patients can receive this covered service once, within your first 12 months of enrollment in Medicare Part B. You pay nothing out of pocket for this visit. However, you may incur a copayment or deductible expense if additional services are performed or ordered by your doctor (not typical).

 

Here at Family Health Care, the Welcome to Medicare Visit (also known as the Initial Preventive Physical Exam, although it does not actually include a “physical exam”) is 90 minutes long and it takes place in our conference room in a group setting called a Shared Medical Appointment. Regardless of who you usually see for your primary care here at the clinic, all Medicare patients attend their Welcome to Medicare visit with Dr. Haney.

 

The purpose of this visit is to create a personalized plan and preventive care checklist for you.

 

The covered services for this visit include:

  • A review of your medical history and your health-related social history

  • Counseling about and recommendations for preventive services, screenings, and immunizations

  • Height, weight and blood pressure measurements

  • A calculation of your body mass index (BMI)

  • A simple vision test

  • A review of your potential risk for depression and your level of safety

  • Referrals for other care, if needed

 

* The Welcome to Medicare visit is not meant to replace your Routine Physical Exam (see below); it does NOT include a Physical Exam, review of any chronic or new conditions, or prescription refills.

2. If You’ve Been a Medicare Member 12 Months or Longer
Annual Wellness Visit—COVERED Your Estimated Cost: $0.00

Patients can receive this covered service annually after you’ve been enrolled in Medicare part B for longer than 12 months, as long as it has been at least 12 months since your Welcome to Medicare Visit or your last Annual Wellness Visit.  You don’t need to have participated in the Welcome to Medicare visit to receive your Annual Wellness Visit. You pay nothing out of pocket for this visit. However, you may incur a copayment or deductible expense if additional services are performed or ordered by your doctor (not typical).

 

Like the Welcome to Medicare visit, the Annual Wellness Visit is 90 minutes long and it takes place takes place in our conference room in a group setting called a Shared Medical Appointment. Regardless of who you usually see for your primary care here at the clinic, all Medicare patients attend their Annual Wellness Visits with Dr. Haney.

 

The purpose of this visit is very similar to the Welcome to Medicare visit. The covered services for this visit include:

  • Develop or update your personalized prevention plan/checklist

  • Counseling about and recommendations for preventive services, screenings, and immunizations

  • Height, weight and blood pressure measurements

  • A calculation of your body mass index (BMI)

  • A simple vision test

  • A review of your potential risk for depression and your level of safety

  • Referrals for other care, if needed

 

*The Annual Wellness Visit is not meant to replace your Routine Physical Exam (see below); it does NOT include a Physical Exam, review of any chronic or new conditions, or prescription refills.

3. If You Would Like a Traditional Physical Exam (recommended by all FHC providers)
Routine Physical Exam—NOT COVERED Your Estimated Cost: $202.00

We recommend you schedule a Routine Physical Exam, also known as your Health Care Maintenance visit, once a year. This visit is what most think of when they hear the words “Annual” or “Physical Exam”. This visit takes places in an exam room with your primary care provider. Medicare does NOT cover physicals, therefore you will have to pay in full for this visit, unless you have a secondary insurance that covers it).

 

During your 45 minute Routine Physical Exam visit, you can expect your provider to do the following:

  • Gather or update your comprehensive medical history

  • Outline plans for the reduction of risk factors

  • Provide interventions or counseling to improve overall health

  • Order screening laboratory and diagnostic procedures based on your family medical history and your personal age and gender-based risk factors (such as a mammogram, colonoscopy or cholesterol screening)

  • Order preventive vaccines

  • If time, provider may manage minor health concerns—minor health concerns does not include anything that would normally prompt you to schedule an appointment if you were not scheduled for your Routine Physical Exam.

*Other Ongoing Preventive Care for Medicare Patients 
Preventive & Screening Services—COVERED

You can schedule a 30 minute covered face-to-face visit (may subject to deductible) with your primary care provider to receive services that help you stay healthy by preventing certain illnesses and health conditions, including:

Women—Gynecological Exam—COVERED Your Estimated Cost: $0.00   

  • Breast Exam

  • Pelvic Exam

  • Pap Smear (if recommended)

*This appointment is only for Breast/Pelvic/Pap and does NOT include a head-to-toe Physical Exam, review of health risks, review of medical problems, or medication refills

Men & Women—Problem Visit—COVERED  Your Estimated Cost: $0.00, *subject to deductible    

  • 1 moderate to complex, or 2 simple, Medical Problems

  • Review of Body Systems

  • Related Medication Refills