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giantsigh.bsky.social @giantsigh.bsky.social

They don't cover cholesterol screening for Medicare patients. They don't follow reason.

aug 29, 2025, 4:48 am • 0 0

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Flow Void @flowvoid.bsky.social

Medicare does cover cholesterol screening.

aug 29, 2025, 4:51 am • 0 0 • view
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Flow Void @flowvoid.bsky.social

www.medicare.gov/coverage/car...

aug 29, 2025, 4:53 am • 1 0 • view
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giantsigh.bsky.social @giantsigh.bsky.social

Once every 5 years. If you are started on medication for high cholesterol, the patient must pay for any screening to determine medication effectiveness. They also do not cover B12, D3 or any other vitamin levels. Sucks if your a anemic as many elderly are. B12 levels cost about $130.

aug 29, 2025, 5:06 am • 0 0 • view
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Tommy Kruse @tommythecat.bsky.social

Not true. If you are put on cholesterol meds Medicare will pay for additional blood tests for maintenance. The doctor needs to know if the medication is working. Screening is for healthy people once every five years.

aug 30, 2025, 1:52 pm • 1 0 • view
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Tommy Kruse @tommythecat.bsky.social

You weren't talking to someone with knowledge of the rules.

aug 30, 2025, 9:14 pm • 0 0 • view
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giantsigh.bsky.social @giantsigh.bsky.social

I've been fighting for years. Insurance companies are now using AI to determine coverage via algorithms. Some people will get covered, some won't. I've had procedures denied by a group where the medical "expert " was a retired dentist. I won on appeal, but It is getting worse.

aug 30, 2025, 11:53 pm • 1 0 • view
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giantsigh.bsky.social @giantsigh.bsky.social

I guess all that time I was on the phone was imagined then. Okay. Ta

aug 30, 2025, 3:39 pm • 0 0 • view
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Flow Void @flowvoid.bsky.social

Ok, so Medicare covers cholesterol screening. A screening test is a test performed in healthy people before treatment. Medicare also covers B12 levels, when medically necessary. seniorsinfo.org/medicare-ins...

aug 29, 2025, 5:16 am • 2 0 • view
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giantsigh.bsky.social @giantsigh.bsky.social

I know all this info but wait until you're the one fighting for them to cover it even when medically necessary. I am tenacious and like a dog with a bone, but many seniors are intimidated by the process as they double talk at each level. It is also ridiculously time consuming.

aug 29, 2025, 5:23 am • 0 0 • view
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giantsigh.bsky.social @giantsigh.bsky.social

Once every 5 years.

aug 29, 2025, 5:07 am • 0 0 • view
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Tommy Kruse @tommythecat.bsky.social

If you have high cholesterol Medicare will pay for more frequent tests. It's just the initial test that's once every five years if they discover your lips levels are normal. My insurance pays for a full blood screen and urine screen every year.

aug 30, 2025, 1:32 pm • 1 0 • view