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Preventative Care ? #4673563
02/21/18 05:14 PM
02/21/18 05:14 PM
Joined: Dec 2016
Posts: 2,203
VA
maverickfhs Offline OP
maverickfhs  Offline OP
Joined: Dec 2016
Posts: 2,203
VA
Does anyone know if there's a list from federal government about certain tests which should be done in annual wellness exam or as preventive ?

I understand, every insurance is different and all. But does anyone know if there's a minimal list(or a baseline) set up by anyone?

Thank you thumbsup


2006 Civic EX 202K/AT
2006 Acura TSX 180K/AT
Re: Preventative Care ? [Re: maverickfhs] #4673575
02/21/18 05:21 PM
02/21/18 05:21 PM
Joined: Mar 2014
Posts: 3,473
NJ
Leo99 Offline
Leo99  Offline
Joined: Mar 2014
Posts: 3,473
NJ
Guess it depends on your age and family history and general health.


Without data you're just another person with an opinion. W. E. Deming

2003 Corolla 250,000 miles (RIP)
2004 Corolla 125,000 miles
2004 Rav4 370,000 miles
2015 Camry 70,000 miles
Re: Preventative Care ? [Re: maverickfhs] #4673581
02/21/18 05:27 PM
02/21/18 05:27 PM
Joined: Aug 2008
Posts: 3,231
Where the wind comes sweepin'
Reddy45 Offline
Reddy45  Offline
Joined: Aug 2008
Posts: 3,231
Where the wind comes sweepin'
Isn't it age based? Your insurance provider will actually be able to tell you what exams/procedures are covered for you, based on your age.

Re: Preventative Care ? [Re: Reddy45] #4673616
02/21/18 06:02 PM
02/21/18 06:02 PM
Joined: Oct 2009
Posts: 3,509
Wet side WA
JohnnyJohnson Offline
JohnnyJohnson  Offline
Joined: Oct 2009
Posts: 3,509
Wet side WA
Originally Posted By: Reddy45
Isn't it age based? Your insurance provider will actually be able to tell you what exams/procedures are covered for you, based on your age.


Won't that be age discrimination?


2004 Corolla 126649
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Re: Preventative Care ? [Re: maverickfhs] #4673626
02/21/18 06:09 PM
02/21/18 06:09 PM
Joined: Nov 2008
Posts: 9,277
Phoenix
dishdude Online content
dishdude  Online Content
Joined: Nov 2008
Posts: 9,277
Phoenix
Have you asked your doctor?


2018 Challenger SRT 392 PUP 0w-40 Wix 57899XP
2018 GTI
Re: Preventative Care ? [Re: JohnnyJohnson] #4673634
02/21/18 06:19 PM
02/21/18 06:19 PM
Joined: Mar 2013
Posts: 5,030
The Midwest
skyactiv Offline
skyactiv  Offline
Joined: Mar 2013
Posts: 5,030
The Midwest
Originally Posted By: JohnnyJohnson
Originally Posted By: Reddy45
Isn't it age based? Your insurance provider will actually be able to tell you what exams/procedures are covered for you, based on your age.


Won't that be age discrimination?


It's called common sense. You usually dont get a prostate exam or a colonoscopy at age 30.


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Re: Preventative Care ? [Re: maverickfhs] #4673659
02/21/18 06:40 PM
02/21/18 06:40 PM
Joined: Mar 2004
Posts: 21,105
Upstate NY
Donald Offline
Donald  Offline
Joined: Mar 2004
Posts: 21,105
Upstate NY
We are a bunch of grease monkey. Trust your doctor.

The only recommendation I would give is to have a primary care doctor.


2015 Subaru Forester 2.5 engine/CVT
2015 Ford F250 w/Powerstroke
2016 Subaru Crosstrek CVT (wife's)
Re: Preventative Care ? [Re: JohnnyJohnson] #4673675
02/21/18 06:53 PM
02/21/18 06:53 PM
Joined: Aug 2008
Posts: 3,231
Where the wind comes sweepin'
Reddy45 Offline
Reddy45  Offline
Joined: Aug 2008
Posts: 3,231
Where the wind comes sweepin'
Originally Posted By: JohnnyJohnson
Originally Posted By: Reddy45
Isn't it age based? Your insurance provider will actually be able to tell you what exams/procedures are covered for you, based on your age.


Won't that be age discrimination?


No. The body of an 80 year old and the body of a 20 year old have vastly different needs and concerns.

Certain disorders like prostate cancer and colon cancer become an issue later on in life.

I was mostly commenting on the procedures that insurance would fully cover. Anyone of any age is always free to go pay to get any medically warranted procedure or test.

Re: Preventative Care ? [Re: maverickfhs] #4673681
02/21/18 06:58 PM
02/21/18 06:58 PM
Joined: Aug 2017
Posts: 225
Cincinnati, USA
Dave9 Offline
Dave9  Offline
Joined: Aug 2017
Posts: 225
Cincinnati, USA
If you have specific concerns (symptoms) regarding your health or are above ~ 40 y/o, get regular checkups. Your physician who can track your health over time, will recommend the needed tests. If you don't trust that doctor to do so then it is a sign you need to find one you do trust.

Re: Preventative Care ? [Re: maverickfhs] #4673695
02/21/18 07:07 PM
02/21/18 07:07 PM
Joined: Dec 2016
Posts: 2,203
VA
maverickfhs Offline OP
maverickfhs  Offline OP
Joined: Dec 2016
Posts: 2,203
VA
Thanks, I understand depends on age and all.

But was wondering if there's set of minimum tests which doctor is supposed to run.

Currently, doctor ordered something as preventive and it's not being covered by the insurance.


2006 Civic EX 202K/AT
2006 Acura TSX 180K/AT
Re: Preventative Care ? [Re: maverickfhs] #4673706
02/21/18 07:12 PM
02/21/18 07:12 PM
Joined: Mar 2014
Posts: 3,473
NJ
Leo99 Offline
Leo99  Offline
Joined: Mar 2014
Posts: 3,473
NJ
My Dr ordered a colonoscopy for me when I was 48. He also owned the colonoscopy center. Insurance said nay nay because I was too young and didn't have known disease.


Without data you're just another person with an opinion. W. E. Deming

2003 Corolla 250,000 miles (RIP)
2004 Corolla 125,000 miles
2004 Rav4 370,000 miles
2015 Camry 70,000 miles
Re: Preventative Care ? [Re: Leo99] #4673713
02/21/18 07:15 PM
02/21/18 07:15 PM
Joined: Dec 2016
Posts: 2,203
VA
maverickfhs Offline OP
maverickfhs  Offline OP
Joined: Dec 2016
Posts: 2,203
VA
Originally Posted By: Leo99
My Dr ordered a colonoscopy for me when I was 48. He also owned the colonoscopy center. Insurance said nay nay because I was too young and didn't have known disease.


Did you have to eat the cost then?


2006 Civic EX 202K/AT
2006 Acura TSX 180K/AT
Re: Preventative Care ? [Re: maverickfhs] #4673970
02/21/18 11:15 PM
02/21/18 11:15 PM
Joined: Mar 2014
Posts: 3,473
NJ
Leo99 Offline
Leo99  Offline
Joined: Mar 2014
Posts: 3,473
NJ
Originally Posted By: maverickfhs
Originally Posted By: Leo99
My Dr ordered a colonoscopy for me when I was 48. He also owned the colonoscopy center. Insurance said nay nay because I was too young and didn't have known disease.


Did you have to eat the cost then?


I didn't get it done. If I did, I would have had to pay for it out of pocket or negotiate a discount with the center before the procedure.


Without data you're just another person with an opinion. W. E. Deming

2003 Corolla 250,000 miles (RIP)
2004 Corolla 125,000 miles
2004 Rav4 370,000 miles
2015 Camry 70,000 miles
Re: Preventative Care ? [Re: JohnnyJohnson] #4674184
02/22/18 09:49 AM
02/22/18 09:49 AM
Joined: Jun 2003
Posts: 10,534
Illinois
javacontour Offline
javacontour  Offline
Joined: Jun 2003
Posts: 10,534
Illinois
No, it's based on risk.

One's risk for colon cancer is much lower at 20 than 50, so you don't get periodic colonoscopies at 20.

When you fill out your medical history, that helps drive the train. If your parents and grandparents generation had type 2 diabetes when they got older, your doctor should be watching for signs that you are developing diabetes. Cancer, heart disease, etc, same thing.

There are age and medical history details that help drive the train here.

Originally Posted By: JohnnyJohnson
Originally Posted By: Reddy45
Isn't it age based? Your insurance provider will actually be able to tell you what exams/procedures are covered for you, based on your age.


Won't that be age discrimination?


network down, IP packets delivered via UPS -BOFH
Re: Preventative Care ? [Re: maverickfhs] #4675197
02/23/18 08:45 AM
02/23/18 08:45 AM
Joined: May 2015
Posts: 2,009
America
Alfred_B Offline
Alfred_B  Offline
Joined: May 2015
Posts: 2,009
America
.


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