"Health care services"

"Health care services" means the furnishing of medicine, medical or surgical treatment, nursing, hospital service, dental service, optometrical service, complementary health services or any or all of the enumerated services or any other necessary services of like character, whether or not contingent upon sickness or personal injury, as well as the furnishing to any person of any and all other services and goods for the purpose of preventing, alleviating, curing or healing human illness, physical disability or injury.

Annual Wellness Exam

The Annual Wellness Visit (AWV) is a yearly appointment with your primary care provider (PCP) to create or update a personalized prevention plan. This plan may help prevent illness based on your current health and risk factors. Keep in mind that the AWV is not a head-to-toe physical. 

Covered services

During your first Annual Wellness Visit, your PCP will develop your personalized prevention plan. Your PCP may also:

Check your height, weight, blood pressure, and other routine measurements

Give you a health risk assessment

This may include a questionnaire that you complete before or during the visit. The questionnaire asks about your health status, injury risks, behavioral risks, and urgent health needs.

Review your functional ability and level of safety

This includes screening for hearing impairments and your risk of falling.

Your provider must also assess your ability to perform activities of daily living (such as bathing and dressing), and your level of safety at home.

Learn about your medical and family history

Make a list of your current providers, durable medical equipment (DME) suppliers, and medications

Medications include prescription medications, as well as vitamins and supplements you may take

Create a written 5-10 year screening schedule or check-list

Your PCP should keep in mind your health status, screening history, and eligibility for age-appropriate, Medicare-covered preventive services

Screen for cognitive impairment, including diseases such as Alzheimer’s and other forms of dementia

Medicare does not require that doctors use a test to screen you. Instead, doctors are asked to rely on their observations and/or on reports by you and others.

Screen for depression

Provide health advice and referrals to health education and/or preventive counseling services aimed at reducing identified risk factors and promoting wellness

Health education and preventive counseling may relate to weight loss, physical activity, smoking cessation, fall prevention, nutrition, and more.

AWVs after your first visit may be different. At subsequent AWVs, your doctor should:

Check your weight and blood pressure

Update the health risk assessment you completed

Update your medical and family history

Update your list of current medical providers and suppliers

Update your written screening schedule

Screen for cognitive issues

Provide health advice and referrals to health education and/or preventive counseling services

Well child/School physicals

Well-Child Visit

Complete physical exam

Complete review of medical history

Review of cognitive development

Discussion about nutrition, physical activity, sleep, and health/safety risks

Immunizations review

Discussion about adolescent issues and risk factors, as applicable

School/sports physical form can be completed during this visit

Covered annually by most health plans and meets well-child quality metrics.

School/Sports Physical

Basic physical exam

Brief review of medical history

Variable definitions of what is included and necessary

Includes completion of school/sports physical form

Often not covered by health plans and does not meet quality metrics around annual wellness

Well woman exams

Your well-woman visit is all about you, your body, and your reproductive health. Well-woman visits are also called gynecological exams, pelvic exams, or annual exams. If you have a vulva, breasts, or a uterus, these visits are an important part of taking care of your health (no matter what your gender identity is).

What happens during a well-woman visit?

What happens during your well-woman visit (some people call it a well woman exam) depends on a few things, like how old you are, your sexual history, and medical history.

It’s a good idea to have your first well-woman visit around age 13 to 15. It may just be a talk with your doctor plus a regular physical exam. Your doctor or nurse will check your height, weight and blood pressure.

You might talk about your period, especially if you’re worried about it being heavy, painful, or irregular. If you’re under 18, you may get some shots, like the HPV vaccine, as well.

If you’re sexually active (meaning you’ve had vaginal, anal, or oral sex), you may talk about birth control or STD testing.

Around age 21, you’ll start needing regular pelvic exams, Pap tests, and breast examinations. And as you get older, or as your health changes, your well-woman visits will include other tests and referrals for stuff like mammograms.

One thing that stays the same, no matter how old you are, is building a good, honest relationship with your doctor or nurse. You can talk about healthy relationships and other parts of your emotional health during your well-woman visit. The more honest you are, the better care you’ll get.

Have a breasts and/or a vagina but don’t identify as a woman? It’s still a good idea to have these kinds of check-ups with your nurse or doctor, along with any trans care you’re receiving.

Acute Care Visits

Acute care is a branch of secondary health care where a patient receives active but short-term treatment for a severe injury or episode of illness, an urgent medical condition, or during recovery from surgery. In medical terms, care for acute health conditions is the opposite from chronic care, or longer term care.



Shots may hurt a little, but the diseases they can prevent are a lot worse. Some are even life-threatening. Immunization shots, or vaccinations, are essential. They protect against things like measles, mumps, rubella, hepatitis B, polio, tetanus, diphtheria, and pertussis (whooping cough). Immunizations are important for adults as well as children.

Your immune system helps your body fight germs by producing substances to combat them. Once it does, the immune system "remembers" the germ and can fight it again. Vaccines contain germs that have been killed or weakened. When given to a healthy person, the vaccine triggers the immune system to respond and thus build immunity.

Before vaccines, people became immune only by actually getting a disease and surviving it. Immunizations are an easier and less risky way to become immune.

Lipo B12 Injections/Weight Management

By definition, a lipotropic substance decreases the deposit, or speeds up the removal of fat within the liver. Lipotropic nutrients are a class of agents that plays an important role in the body’s use of fat. They enhance the liver and gallbladder’s role by decreasing fat deposits and by speeding up the metabolism and removal of fats. The liver is the key organ in the control of body fat. Even if you do everything right, if your liver is slow to process fats it will slow your weight loss. The lipotropic portion of our Lipo B injections is composed of three amino acids: Choline, Methionine, and Inositol. They help your liver process fats at peak efficiency, making your weight loss easier to maintain.

For these reasons, we recommend weekly Lipotropic injections to help you lose weight. In most cases, after just 4 weeks of injections, you will look and feel healthier.

Aids in proper metabolism of fats and removal of fat from the liver

Provides an energy boost

Boosts your metabolism by helping to digest food

Speeds up thought processes and improves mood

Provides essential components for normal cell and brain function

Helps control cholesterol levels and gallstones

Helps emulsify cholesterol and detoxify amines

Helps keep skin tone healthy and nails strong

Promotes healthy hair growth

Helps transform carbohydrates into energy.

The different ingredients of this mixture are known to have the following attributes:

Vitamin B12:

B12 is used in the metabolism of fats, proteins and carbohydrates. It is involved in making DNA, necessary in the production of new healthy cells. It is a nutrient that helps keep the body’s nerves and blood cells healthy. B12 lowers homocysteine levels, a protein associated with an increased risk of heart attack, stroke, and dementia. It is often used to give an energy boost, helping to increase activity levels. While B12 is found naturally in a healthy diet, factors like stress and poor eating habits can lead to a deficiency.


Methionine is one of the sulfur-containing amino acids and is important for many bodily functions. It acts as a lipotropic agent to prevent excess fat buildup within the liver, is helpful in relieving or preventing fatigue, and may be useful in some cases of allergy because it reduces histamine release. Patients with a Sulfa allergy should not take this injection.


Inositol, a nutrient belonging to the B vitamin complex, is closely associated with choline. It aids in the metabolism of fats and helps reduce cholesterol within the blood. Inositol participates in the action of serotonin, a neurotransmitter known to control mood and appetite.


Choline supports the health of the liver, in its processing and excretion of chemical waste products within the body. Moreover, it is required for the transport and metabolism of fats and cholesterol within the body.

Medication Management

Medication management is the level of outpatient treatment where the sole service rendered

by a qualified physician, or others whose scope of practice includes prescribing medication,

is the initial evaluation of the patient's need for  medications, the provision of a

prescription, and, as-needed, ongoing medical monitoring/evaluation related to the patient’s

use of the  medication. Interactive medications is not being rendered at this

time by the primary care provider, but may be provided by another clinician.

Service Expectations

 Medical evaluation

 Medication monitoring routinely and as needed

 Client education pertaining to the medication to support the individual in making an

informed decision for its use.

 The service provider must make a good faith attempt to coordinate care with the

individual’s primary medical provider 


A medical laboratory or clinical laboratory is a laboratory where tests are carried out on clinical specimens in order to obtain information about the health of a patient in order to provide diagnosis, treatment, and prevention of disease.

What is routine blood work?

A typical routine blood test is the complete blood count, also called CBC, to count your red and white blood cells as well as measure your hemoglobin levels and other blood components. This test can uncover anemia, infection, and even cancer of the blood.

Common Lab Tests


This test helps to diagnose lupus and to rule out certain other autoimmune diseases.

PTT (Partial Thromboplastin Time)

This test is most often ordered to help evaluate your risk of excessive bleeding prior to a surgical procedure, or to monitor heparin anticoagulant therapy.

Glycohemoglobin (Hemoglobin A1C)

Used to monitor a person’s diabetes and to aid in treatment decisions, this test is usually performed with the first diagnosis and then 2 to 4 times per year.

BMP (Basic Metabolic Panel)

A group of 7-8 tests used as a screening tool to check for conditions like diabetes and kidney disease. You may be asked to fast for 10 to 12 hours prior to test.

CBC (Complete Blood Count)

Determines general health and screens for disorders such as anemia or infections, as well as nutritional status and toxic substance exposure.

CMP (Comprehensive Metabolic Panel)

This group of 14 tests gives your doctor information about the kidneys, liver, and electrolyte and acid/base balance, as well as of blood sugar and blood proteins.

ESR (Sedimentation Rate)

Your doctor may order this test to determine the cause of inflammation, or to help diagnose and follow the course of joint or muscle pain.

Flu (Influenza A and B Screen)

Used to determine whether flu-like symptoms are due to influenza A or B, or to other causes. Testing may be done using a nasopharyngeal swab, nasal aspirate or wash, or a throat swab.

Glucose Level

Used to identify blood glucose level, and to screen for, diagnose, and monitor diabetes, pre-diabetes, and hypoglycemia. If you are diabetic, glucose levels should be monitored up to several times a day.


Typically performed to confirm and monitor pregnancy, or if symptoms suggest issues of concern. Urine sample is collected in the morning or a blood sample is drawn.

HIV Antibody (HIV 1/2 Ag/Ab 4th Generation with Reflex)

This test to determine if you are infected with HIV should be performed three to six months after you think you may have been exposed to the virus.

Lipid Panel (or Lipid Profile)

This group of tests can determine risk of coronary heart disease, and may be a good indicator of whether someone is likely to have a heart attack or stroke, as caused by blockage of blood vessels.

Liver Function Panel (LFT)

Also known as liver (hepatic) function tests or LFT, can detect liver damage or disease. Multiple tests may be ordered at the same time, and may be used to detect hepatitis, or diagnose other liver-related conditions.

Lyme Antibody w/Reflex Immunoblot

If you show symptoms of Lyme disease, your doctor may order this test to see if you have been exposed to the bacterium that causes Lyme disease.

Microalbumin, Urine

Performed annually after a diagnosis of diabetes or hypertension to screen for a possible kidney disorder. It can be done using a random, timed, overnight, or 24-hour urine sample.

Labs Cont.


If you have symptoms of mononucleosis, including fever, sore throat, swollen glands, and fatigue, your doctor may order this test to make a diagnosis.

Pap Smear

Should be performed annually for women who are over the age of 18 and/or sexually active, to screen for cervical cancer and certain vaginal or uterine infections. Cells are removed from the cervical area for testing.

PSA (Prostate Specific Antigen)

This test is to screen for — and monitor — prostate cancer.

PT (Protime)

Used to check how well prescribed blood-thinning medications (anti-coagulants) are working, or to help detect and diagnose a bleeding disorder.

Semen Analysis

Can be used to learn about the health of your reproductive organs, or after a vasectomy to determine if the operation was successful. A semen sample is collected in a sterile, wide-mouth container provided by the lab.

Stool Culture

Used to determine whether you have pathogenic bacteria in your gastrointestinal tract. Test requires a fresh stool sample or one that has been placed in a specialized collection container.

TSH, High Sensitivity (Thyroid Stimulating Hormone)

This test is performed to screen for and diagnose thyroid disorders, or to monitor treatment of hypothyroidism.

Uric Acid

Used to detect high levels of uric acid, or to monitor certain chemotherapy or radiation cancer therapies.


This standard test is usually performed on admission to a hospital or as part of an annual physical. It may also be done if you have symptoms relating to abdominal pain or blood in the urine. One to two ounces of urine are required.

Urine Culture

If you experience symptoms of a urinary tract infection (UTI), your doctor may test a sample of your urine to make the diagnosis. A urine sample is required.

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