Wellcare Dual Liberty (HMO D-SNP) (001): Screening for Sexually Transmitted Infections (STIs) and Counseling to Prevent STIs

Those at increased risk for an STI are those who are sexually active without protection, especially with multiple sexual partners, and those who share needles for injection (whether prescription or illicit substances).  Contrary to popular belief, the older adult population is no exception.

While our senior loved ones engaging in sexual activity, particularly with multiple partners, may not be top of mind for us, it is not uncommon, especially in community living settings (retirement neighborhoods/areas, independent living, assisted living, memory care).  Likewise, sharing injection needles, especially among those with diabetes, is common.  And there is illicit intravenous drug use among older adults, as well.  Both behaviors can lead to significant health issues.

These behaviors can result in contracting chlamydia, gonorrhea, syphilis, and Hepatitis B.  An STI screening will check for each of these infections. An STI screening is available every 12 months for those at increased risk for infection when ordered by a primary care provider in a primary care setting.

Also covered are up to 2 face-to-face, high-intensity behavioral counseling sessions per year for sexually active adults at increased risk for STIs. Each session can run for about 20–30 minutes.

Things to know

A primary care provider must order the screening or make a referral for behavioral counseling. Only counseling sessions with a primary care provider in a primary care setting (like a doctor’s office or clinic) are covered. Counseling as a preventive service in an inpatient setting (like a skilled nursing facility) is not covered.