Community health integration services

If your doctor or other health care provider gives you a social determinants of health risk assessment, they may find that social factors (like limited access to food or your living environment) are impacting your health or access to care. In these cases, Medicare Part B (Medical Insurance) covers community health integration services to address your needs and help your provider diagnose or treat your medical conditions. Some community health integration services include:

  • An assessment to better understand your life story
  • Care coordination
  • Health education
  • Patient self-advocacy training
  • Health system navigation
  • Social and emotional support

You must have an initial office visit with your provider (separate from your yearly “Wellness” visit) before you can start getting community health integration services. After your initial visit, you can get these services monthly. Your provider or their staff can give you the community health integration services or refer you to other trained personnel (including community health workers) for the services.

Your costs in Original Medicare

After you meet the Part B deductible , you pay 20% of the Medicare-approved amount .

What it is

Community health integration services help address non-medical factors that may be impacting your health. 

Is my test, item, or service covered?