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What To Know About Preventive Care

Most people think of scheduling an appointment to see a doctor when they are sick, but not everyone realizes how important it is to see a primary care provider (PCP) for preventive care even when you are feeling healthy.

A primary care provider could be:

  • a physician (MD or DO), or
  • an advanced practice clinician (APC) who is either a physician assistant (PA) or a nurse practitioner (NP).
  • Preventive care is important for all patients to maintain better health, and usually begins with an annual check-up. During this visit your primary care provider will:

  • get to know you, and learn about your health and family history;
  • screen for current diseases;
  • discuss medications and supplements you take;
  • check for future disease risks;
  • discuss recommended screenings based on your age, gender, family history, and risk factors;
  • update your vaccinations and immunizations;
  • discuss healthy lifestyle and challenges, such as diet and exercise; and
  • get a baseline for your health to improve care in the future.
  • Your provider can tell you if they think you should come more often than once a year.

    Regular visits with your primary care provider create a baseline for your health so you can identify changes in your health or your body that might not be normal. Schedule an appointment right away if you experience any of the following:

  • A lump you can feel anywhere in your body
  • A cough or fever that does not go away
  • Unusual aches or pains that do not go away
  • Changes in your skin or sores that don't heal
  • Losing weight without trying
  • Changes in your stool or blood in your stool
  • Identifying potential diseases early on (when you first experience symptoms) can sometimes provide more options for treatment and a better outcome.


    Medicare And Annual Doctor Visits

    Many seniors are surprised to find out Medicare does not cover physicals. We regularly receive calls from clients wondering why they were billed for something that is usually considered a preventative service. While Medicare does want you to see your primary care provider, incorrect coding for a visit can result in surprise bills.

    Let's look at what Medicare does and does not cover:

    "Welcome to Medicare" Visit – Seniors are eligible for this visit one time within the first 12 months they are enrolled in Part B. This visit is quite thorough; the doctor reviews family history, current health conditions, and prescriptions. The doctor also establishes a baseline for blood pressure, vision and weight. Sometimes, certain screenings and shots are ordered. There is no copayment for this visit, and the Part B deductible does not apply.

    "Annual Wellness" Visit – This is what most people think of when they hear the term "annual physical," although this visit is mostly about prevention. While assessing overall health and well-being, doctors want to develop and update a personalized prevention plan. Medicare covers this visit once every 12 months (11 full months must have passed since your last visit). Occasionally, doctors will run tests that fall outside the bounds of this regular visit, which could be billed.

    "Annual Physical" – Physicals are generally full, head-to-toe exams. Doctors listen to heart and lungs, feel neck and abdominal area, test reflexes, and more. This exam is more thorough than the "wellness visit," and these appointments are not covered by Medicare or a Medicare Supplement.

    Differentiating between these visits and the way they are medically coded can help prevent surprise bills. When you call your doctor to schedule an appointment, make sure you talk through exactly what you'll need, knowing that a "physical," will likely involve more screening and will be your financial responsibility. I always recommend asking your doctor exactly what Medicare will cover and confirming costs up front.

    My team would love to come alongside and assist you in your Medicare journey. We've been blessed to be able to help thousands of seniors in Denton and Tarrant County. Our services are always free, so don't hesitate to call 800-750-2407 or swing by 2604 Long Prairie Road, Suite 100 in Flower Mound.

    God Bless.

    (Sponsored content)


    9 Best Telemedicine Companies In 2024

    Finding the time to get to a doctor's appointment can be challenging. With telemedicine, you can get healthcare consultations and some treatments right from home.

    Quick look at the best telemedicine companies

    For people with busy schedules or who have difficulty accessing medical care, in-person doctors' appointments can present challenges. Virtual doctors' appointments via telemedicine platforms can help.

    From the comfort of your home, you can discuss medical issues with a doctor, receive treatment for many common ailments, and more. These services can help make medical care more accessible.

    And in many cases, telemedicine platforms can be more affordable for people without insurance or those with insurance that does not cover certain costs.

    Read on to learn about different types of telemedicine platforms and what services they offer.

    Healthline's picks for the best telemedicine companies
  • Specialties: comprehensive, mental health, dental (symptom assessment), skin care, sexual health, and others
  • Prescriptions: yes
  • Insurance coverage: no
  • Healthline's review

    Price: varies by specialty and healthcare professional; starts at $37

    Sesame Care offers the following services:

  • urgent care
  • skin care
  • dental care
  • mental health
  • wellness and disease prevention
  • chronic condition care
  • women's health
  • pediatrics
  • sexual health
  • In many states, Sesame's services also include referrals for labs, imaging, or specialists.

    You can book a same-day appointment for an initial health visit. Prices vary by location, and reviewers say prices are affordable overall.

    Sesame Care professionals are often less expensive than your health insurance copay. However, depending on your coverage, you might be eligible for reimbursement of healthcare fees for professionals not usually covered by your insurance network.

    If you have medication prescribed at a local pharmacy, you can use your insurance to pay for it, and you will owe only your copay or deductible costs for that medication.

    Sesame Care also offers a membership subscription called Sesame Plus. It has a $99 annual fee (or $10.99 per month) and may reduce costs for visits and other services.

    Pros & cons
  • option to book same-day appointments
  • affordable prices
  • potentially long wait times
  • documentation not provided
  • option to book same-day appointments
  • affordable prices
  • potentially long wait times
  • documentation not provided
  • Product details
  • Service delivery: video
  • Subscription required: no
  • Service delivery: video
  • Subscription required: no
  • Specialties: nonurgent medical care, dermatology, therapy, and psychiatry
  • Prescriptions: yes
  • Insurance coverage: yes
  • Healthline's review

    Price: starts at $82 or less, depending on insurance

    MDLIVE gets our pick for the most variety in a telehealth service because it treats a wide range of conditions under the pillars of urgent care, primary care, dermatology, and mental health. Some of the top conditions are allergies, urinary tract infections, and rashes.

    In addition, MDLIVE is more transparent than other services about the conditions it cannot treat and medications it cannot prescribe. For example, it can treat COVID-19 but cannot prescribe antivirals.

    To use MDLIVE requires a three-step care procedure: First, you create a free account. Then, you choose from a network of board certified doctors. Finally, you speak with your doctor on the phone or online to set up a treatment plan, which may also include the ordering of prescriptions.

    Urgent care visits are $82 or possibly less, depending on your insurance. The same goes for dermatology at $95 and counseling at $108. An initial psychiatric visit is $284, with follow-up visits at $108.

    Insurance is accepted for all visits, including behavioral health, so the costs will depend on your insurance plan.

    Pros & cons
  • offers psychiatry or therapy appointments for children ages 10 years and older
  • appointments available 24/7, 365 days per year
  • potentially limited therapist availability
  • cannot prescribe certain medications
  • offers psychiatry or therapy appointments for children ages 10 years and older
  • appointments available 24/7, 365 days per year
  • potentially limited therapist availability
  • cannot prescribe certain medications
  • Product details
  • Service delivery: phone, video
  • Subscription required: no
  • Service delivery: phone, video
  • Subscription required: no
  • Best for insurance coverage
  • Specialties: primary care needs, smoking cessation, dermatology, and mental health
  • Prescriptions: yes
  • Insurance coverage: yes
  • Healthline's review

    Price: general medical visits can be as low as $0 with insurance or $89 without insurance

    Teladoc can be used for:

  • pediatric services
  • nonemergency medical issues
  • dermatological conditions
  • mental health consultations for conditions such as depression and substance use disorders
  • sexual health consultations
  • Teladoc doctors can also send prescriptions to your pharmacy or analyze lab results. Your primary care doctor can order lab work, imaging studies, vaccinations, and referrals.

    It was one of the first telehealth companies in the United States, and it has maintained a highly favorable rating among doctors and patients, plus it's covered by most major insurers.

    The Teladoc team can connect you to your choice of in-network labs or facilities. Your results are uploaded to your account once they're ready, and a healthcare professional reviews them with you.

    General medical visit fees can be as low as $0 with insurance and cost $89 if you do not have insurance. Pricing varies based on your insurance plan and your medical care needs. Contact Teladoc for more details.

    Pros & cons
  • covers a wide range of health issues
  • can analyze lab results and send prescriptions to pharmacies
  • some reports of technical issues with the app
  • potentially time-consuming account setup process
  • covers a wide range of health issues
  • can analyze lab results and send prescriptions to pharmacies
  • some reports of technical issues with the app
  • potentially time-consuming account setup process
  • Product details
  • Service delivery: phone, video
  • Subscription required: no
  • Service delivery: phone, video
  • Subscription required: no
  • Best for general medical care
  • Specialties: urgent care, general medical care, therapy, psychiatry, women's health, and pediatrics
  • Prescriptions: yes
  • Insurance coverage: yes
  • Healthline's review

    Price: varies; urgent care visits start at $69 before insurance

    In addition to urgent care and general medical questions, Amwell offers a variety of other video medical services, which is why it's great for general medical care.

    Available services include:

  • widely acclaimed therapy
  • psychiatry
  • breastfeeding support
  • nutrition counseling
  • pediatrics
  • women's health
  • second opinions
  • Two physician brothers founded Amwell. Their goal was to make basic healthcare more affordable and eliminate barriers such as distance, mobility, and time.

    In addition to the website, Amwell's mobile application, which is available on iOS and Android, can connect you with a doctor.

    When using the service, you're matched with doctors in your state. Amwell says it partners with new health plans every day and, depending on your insurance company and plan, urgent care virtual visits may be a fully covered benefit.

    Before you connect with your healthcare professional, you'll be asked to pay the cost of your insurance copay or $69.

    Pros & cons
  • easy enrollment
  • option to choose your doctor
  • covered by only certain insurers
  • possibility of technical issues
  • easy enrollment
  • option to choose your doctor
  • covered by only certain insurers
  • possibility of technical issues
  • Product details
  • Service delivery: video
  • Subscription required: no
  • Service delivery: video
  • Subscription required: no
  • Specialties: urgent care, general medical care, and primary care relationship building
  • Prescriptions: yes
  • Insurance coverage: yes
  • Healthline's review

    Price: $44 per video appointment with a membership, which is as low as $15 per month with insurance

    HealthTap claims to have 90,000 U.S.-licensed physicians to answer your health questions and can fill prescriptions and treat conditions such as allergies, asthma, high blood pressure, and type 2 diabetes. You can also chat with on-call urgent care doctors 24/7. Consistent access to medical care is a major plus for HealthTap.

    For a membership fee of $15 per month, you can access $44 video appointments and specialized telemedicine care, including primary care. Doctors can also order lab tests and write or refill prescriptions. The cost includes texting with your doctor for follow-up questions.

    You can speak with a doctor during nights, weekends, and holidays for $59 per visit.

    People with select insurance plans may not need to become members to use the service.

    Pros & cons
  • more affordable for people without insurance
  • option to have a free account
  • can use the same doctor for consistency
  • potentially slow response times
  • may provide only general, non-specialized consultations, depending on the issue
  • more affordable for people without insurance
  • option to have a free account
  • can use the same doctor for consistency
  • potentially slow response times
  • may provide only general, non-specialized consultations, depending on the issue
  • Product details
  • Service delivery: video, talk, and text message
  • Subscription required: yes
  • Service delivery: video, talk, and text message
  • Subscription required: yes
  • Specialties: primary care concerns
  • Prescriptions: yes
  • Insurance coverage: yes
  • Healthline's review

    Price: $16.99 monthly membership, plus either an insurance copay or $129

    PlushCare offers treatments from head to toe. This includes general health services for men, women, and children; preventive care; mental health services and online therapy; urgent care, and more.

    The company also offers a variety of sexual health services, such as screenings, testing for sexually transmitted infections (STIs), prescription medications for some STIs, and HIV preventive care and treatment.

    With PlushCare, you can book video appointments online or via an app. You can book ahead for when it's convenient or find a same-day appointment if you need one.

    PlushCare can also refill many common prescriptions and send them to your local pharmacy, although that list does not include controlled substances.

    PlushCare is in-network with many insurers. If your insurance is accepted, PlushCare will charge an estimated cost plus copay. Even without insurance, PlushCare offers a relatively budget-friendly appointment fee of $129. You do not need to have insurance to use PlushCare.

    Pros & cons
  • works with insurance plans
  • offers same-day appointments
  • option to see the same doctor again if they're available
  • some reports of communication issues
  • cannot prescribe some drugs
  • works with insurance plans
  • offers same-day appointments
  • option to see the same doctor again if they're available
  • some reports of communication issues
  • cannot prescribe some drugs
  • Product details
  • Service delivery: video
  • Subscription required: yes
  • Service delivery: video
  • Subscription required: yes
  • Best platform for choosing a doctor
  • Specialties: urgent care, preventive health, chronic care, therapy, and psychiatry
  • Prescriptions: no
  • Insurance coverage: yes
  • Healthline's review

    Price: from $89 per visit; varies by insurance provider

    Doctor on Demand, now part of the integrated virtual care company called Included Health, employs hundreds of board certified physicians and mental health professionals for urgent, preventive, and chronic care.

    Because it offers a wide range of professionals who are on-staff team members rather than hourly contractors, this service is the best on the list for choosing a doctor.

    In addition to primary care, urgent care, and behavioral health, Doctor on Demand offers chat-based coaching for issues such as healthy habits, sleep problems, and work stress.

    The cost depends on your insurance company.

    If you're using the service without insurance, connecting with a doctor for 15 minutes costs $89. For mental health services, the price scales up to $299 for an initial 45-minute psychiatric consultation. Follow up appointments are 15 minutes long and cost $129 per session. Video visits with this service can be covered by Medicare Part B.

    Pros & cons
  • option to choose a therapist or psychiatrist based on their specialty and qualifications
  • access to a full team of healthcare professionals (primary care, therapist, and psychiatrist)
  • potentially higher cost for a short teletherapy visit than for a longer, in-person therapy appointment if you don't have insurance
  • might take a few days to get an appointment
  • option to choose a therapist or psychiatrist based on their specialty and qualifications
  • access to a full team of healthcare professionals (primary care, therapist, and psychiatrist)
  • potentially higher cost for a short teletherapy visit than for a longer, in-person therapy appointment if you don't have insurance
  • might take a few days to get an appointment
  • Product details
  • Service delivery: video
  • Subscription required: no
  • Service delivery: video
  • Subscription required: no
  • Best for custom treatment plans
  • Specialties: nonurgent medical care, allergy, therapy, and psychiatry
  • Prescriptions: yes
  • Insurance coverage: yes
  • Healthline's review

    Price: from $55; varies by insurance provider

    LiveHealth Online lets members select their doctors. Once you sign up, you can see who's available in your state and then request a video consultation.

    Doctors are available for appointments 24/7, covering such common issues such as the flu, minor rashes, pink eye, cold and fever, and skin infections. You'll have the opportunity to map out a treatment plan for these types of issues and get a prescription, if needed. LiveHealth's offerings also include allergy visits.

    Several major insurance companies cover LiveHealth visits, which start at $55 without insurance.

    Pros & cons
  • option to choose your own doctor
  • can refill prescriptions early
  • some reports of long wait times
  • possibility that appointments may be canceled or rescheduled
  • option to choose your own doctor
  • can refill prescriptions early
  • some reports of long wait times
  • possibility that appointments may be canceled or rescheduled
  • Product details
  • Service delivery: video
  • Subscription required: no
  • Service delivery: video
  • Subscription required: no
  • Best for quick response time
  • Specialties: nonurgent medical care, dermatology, sexual health, allergies, and more
  • Prescriptions: yes
  • Insurance coverage: yes
  • Healthline's review

    Price: starts from $79; varies by insurance provider

    Virtuwell handles the diagnostic part of telemedicine by asking you to describe your symptoms in an online interview.

    A board certified nurse practitioner will receive the report. They can then look at a visible symptom, if necessary, and create a treatment plan based on your diagnosis. This may require sending in a prescription.

    Conditions eligible for virtual consultations include:

  • sinus, cough, and allergy
  • women's health
  • eye and ear
  • kids' health
  • certain STIs
  • other basic nonemergency health issues
  • The company also submits the insurance claim on your behalf. The cost is $79 without insurance.

    Pros & cons
  • advice available for a variety of conditions
  • simple platform
  • staffed by board certified nurse practitioners who cannot offer as many services as doctors
  • need to answer a questionnaire before being connected with a nurse practitioner
  • advice available for a variety of conditions
  • simple platform
  • staffed by board certified nurse practitioners who cannot offer as many services as doctors
  • need to answer a questionnaire before being connected with a nurse practitioner
  • Product details
  • Service delivery: online form
  • Subscription required: no
  • Service delivery: online form
  • Subscription required: no
  • How telehealth companies compare How we chose telemedicine options

    We chose these telemedicine options based on:

  • Ratings: We carefully considered customer reviews to find out what it's really like to use these telemedicine companies.
  • Types of services offered: We looked for companies that can help with a variety of medical issues. Many also offer lab testing and mental health services.
  • Pricing: We chose companies that offer payment options to suit a variety of budgets.
  • Accessibility: We considered how services and results are delivered — via phone call, video, apps, and more — and whether you'll have access to 24/7 care.
  • Vetting: The companies on our list have been vetted to ensure that they align with Healthline's brand integrity standards and approach to well-being. You can read more about our vetting process.
  • How telemedicine works

    Telemedicine allows you to receive healthcare services online, using a computer or a smartphone app. It supports a range of communication methods, including audio or video calls, emails, and chat. 

    It allows you to consult with clinicians for services that don't require a physical examination, including prescription refills, symptom checks, and initial health discussions.

    While not a replacement for in-person visits, telemedicine can effectively determine when such visits are necessary. It also plays a crucial role in providing mental health services and enhancing the accessibility of healthcare.

    Telemedicine offers several advantages:

  • Convenience: Fits easily into busy schedules, allowing appointments from home or work.
  • Accessibility: Opens up access to medical specialists you might not otherwise reach, and removes physical barriers for people with disabilities.
  • Safety: By reducing the need to visit medical facilities, telemedicine helps safeguard people with weakened immune systems or chronic health issues from potential infections.
  • However, telemedicine does require access to a reliable internet connection and a suitable device. Privacy can also be a concern if sessions are conducted in public places.

    You may also hear these services referred to as "telehealth." However, while often used interchangeably, "telemedicine" refers to the digital delivery of clinical healthcare services, while "telehealth" is a broader term encompassing both clinical and nonclinical services, such as medical education and healthcare professional training.

    How to choose the right telemedicine company for your needs

    Choosing the best telemedicine service can depend on several factors, including your specific health needs, budget, and how quickly you need to access care. Here are some steps to help you find the right service:

  • Identify key features: Which features are most important for your telemedicine experience? This could be the availability of specialists, the ease of scheduling, or the range of services offered.
  • Healthcare professionals: Some platforms offer a wide selection of clinicians, allowing you to choose someone who best fits your personal health needs or preferences.
  • Cost and accessibility: Evaluate your budget and prioritize cost-effective services. Additionally, consider how quickly you can access healthcare professionals to ensure prompt care.
  • Specialized care: If you have a specific health condition, look for telemedicine services with professionals experienced in that area. Also, consider your preferred style of communication and ensure the service can accommodate it.
  • Additional services: Check if you need lab work or prescriptions as part of your treatment, and ensure the service can handle these requirements.
  • Payment options: How do you prefer to pay for services? Whether you need documentation for insurance reimbursement or prefer using a debit card, make sure the service meets your payment needs.
  • Frequently asked questions What is the biggest telemedicine company?

    Teladoc Health is the largest telemedicine service, with $1.09 billion in revenue and more than 1,800 employees.

    Teladoc Health is the largest telemedicine service, with $1.09 billion in revenue and more than 1,800 employees.

    Which telemedicine company is best?

    There’s no one-size-fits-all answer to which telemedicine company is the best. Choosing the best telemedicine company hinges on your preferences, healthcare requirements, and financial considerations.

    Each person's health needs are unique. What might be the ideal choice for one individual could be less suitable for another, depending on factors like the types of medical services required, the urgency of care, and budget constraints.

    Within this roundup, each telemedicine service has been highlighted for its distinctive strengths and areas of specialization. All the companies listed have been recognized for their quality of service and reliability, making them excellent choices depending on your specific criteria.

    There’s no one-size-fits-all answer to which telemedicine company is the best. Choosing the best telemedicine company hinges on your preferences, healthcare requirements, and financial considerations.

    Each person's health needs are unique. What might be the ideal choice for one individual could be less suitable for another, depending on factors like the types of medical services required, the urgency of care, and budget constraints.

    Within this roundup, each telemedicine service has been highlighted for its distinctive strengths and areas of specialization. All the companies listed have been recognized for their quality of service and reliability, making them excellent choices depending on your specific criteria.

    What is the best telemedicine service without insurance?

    The best telemedicine service for people without insurance depends on specific healthcare needs, preferences, and budget constraints.

    However, if you're seeking affordability and comprehensive coverage, Sesame Care stands out with its Sesame Plus membership.

    Sesame Plus is a cost-effective way to receive care and manage healthcare expenses more predictably. Membership is $10.99 per month or $99 annually. You can then access medical visits from $29.

    The best telemedicine service for people without insurance depends on specific healthcare needs, preferences, and budget constraints.

    However, if you're seeking affordability and comprehensive coverage, Sesame Care stands out with its Sesame Plus membership.

    Sesame Plus is a cost-effective way to receive care and manage healthcare expenses more predictably. Membership is $10.99 per month or $99 annually. You can then access medical visits from $29.

    Takeaway

    Telemedicine makes it easier than ever to get medical treatment and information. It can also be a more affordable alternative for people without insurance.






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