Cabinet Secretary
Matt Althoff

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Recipient Information

Well-Adult Check-ups

Services

South Dakota Medicaid covers one Well-Adult check-up per year for full coverage adults. Well-Adult check-ups often include the following services:

Health habits and history- Your provider will ask you about your personal and family medical history, habits that affect your health, and other relevant information.

Physical examination- This may include measuring height and weight, checking your blood pressure, calculating your body mass index (BMI), and taking your temperature. A Well-Woman check-up may also include a clinical breast examination and a pelvic examination.

Immunizations- Your provider will give you needed shots to help prevent diseases.

Screenings- Your provider may do or recommend screenings for things such as cholesterol, diabetes, and certain types of cancer.

Education, counseling and goals- Your provider can give you information to help you make health decisions. Your provider can also help you figure out how to achieve goals like quitting smoking or losing weight.

Cleanings and Exam- Some well-adult services are provided outside of the well-adult check-up. South Dakota Medicaid covers two teeth cleanings and an exam each year.  Contact your dentist to schedule an appointment.

Eye Exams- Annual eyes exams can help determine if you need eye glasses. Contact your eye doctor to schedule an appointment.


Additional Tests

Your provider may recommend additional tests. Here are a few questions you can ask to learn more about their recommendations.

  • What is the test for?
  • How is the test done?
  • What are the benefits and risks of having the test?
  • When will I get the results?
  • What will the results tell me?
  • Does South Dakota Medicaid pay for the test and what is my cost-share?

Discussion Topics

Well-Adult check-ups are a great opportunity to discuss health topics with your provider. Below are a few examples of topics you can discuss with your provider.

  • Eating healthy foods
  • Being more active
  • Quitting smoking
  • Getting enough sleep
  • Managing stress

Printable Version to Take to your Appointment

Important Numbers to Remember:

  • Medicaid Recipient Hotline:
    800.597.1603
  • Delta Dental:
    877.841.1478
  • SD Quits:
    866.SD.QUITS
  • Title XIX Transportation:
    866.403.1433

Additional Information: