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Ms. Toad

(38,778 posts)
5. It's an age-related test unrelated to a particularized suspicion of Alzheimers.
Mon May 4, 2026, 08:28 PM
Monday

Medicare requires an assessment of cognitive abilities during the annual exam (i.e. every year for the rest of your life).

Doctors who care for geriatric patients (regardless of type of insurance) pretty much follow Medicare guidelines.

Doctors do not have to use the MOCA test to make the assessment, bit it is one tool for making the assessment. Every time, but one, my doctor has made the assessment just based on our conversations during the visit (another tool for making the assessment). He got a new assistant for this recent visit, and she actually used a modified version of the MOCA.

Trump is stupid to be bragging about the test because it doesn't mean what he thinks it means (and bragging about it just shows his ignorance) - BUT - repeated testing using MOCA just means his doctor chose that method for doing a gross assessment of his cognitive abilities. Yes, it is generically related to Alzheimer's - too many doctors were ignoring signs of dementia until long past the diagnosis time - so it was mandated by law for anyone with Medicare. And, as I said, pretty much every doctor dealing with geriatric patients just follows the Medicare rules.

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