My Coverage Explained

What Preventive Services Are Covered Under My Plan?

Going in to see your doctor for a health exam is one of the best ways to take care of your health. Even if you are not having any health problems, you should have a yearly exam by your doctor. Your doctor will give you an exam, do screenings for things like blood pressure and cholesterol levels and talk with you about your health concerns. Your doctor can also make sure you are getting the shots you need to prevent illness. Find out what your doctor might recommend for you-- grab a copy of our Adult Wellness Guidelines and/or read on for more information about your preventive coverage. 

  Exercising, eating right, getting enough sleep and staying away from things that can harm your health, such as tobacco, are all ways we can stay healthy and prevent certain health problems. But, there is one other part of preventive care that should not be overlooked – getting routine health screenings and exams.

Preventive care often leads to finding health problems early, when your chances for treatment and cure are better. All of our new health insurance plans cover certain preventive health care services with no out-of-pocket costs – that means you are not charged a copayment or coinsurance even if you haven’t met your deductible.* 

Preventive Care Benefits
Some preventive services are covered at no cost, such as:

  • Blood pressure, cholesterol and diabetes tests
  • Colorectal Cancer screening
  • Vaccines for diseases such as:
    • Chicken Pox
    • Diphtheria
    • Flu
    • Hepatitis A
    • Hepatitis B
    • Human Papillomavirus (HPV)
    • Measles
    • Meningitis
    • Mumps
    • Pertussis
    • Pneumonia
    • Rubella
    • Tetanus
  • Screenings for Sexually Transmitted Infections (STIs) such as HIV and syphilis along with prevention counseling for adolescents and adults
  • Help to stop smoking, reduce alcohol abuse, fight depression and lose weight
  • Well-baby and well-child visits, from birth to age 21

Preventive Care Services for Women
Our new health plans also cover these preventive services for women:

  • Mammograms
  • Well-woman visits
  • Cervical Cancer Screening (Pap smears, testing for HPV-- the virus that can cause cervical cancer)
  • Osteoporosis screenings
  • FDA-approved birth control methods and counseling
  • Gestational diabetes screening
  • Care for healthy pregnancies
  • Breastfeeding support, counseling and supplies
  • Interpersonal and domestic violence screenings and counseling

This is not a complete list of preventive health care services that are covered by your health insurance plan. Talk with your doctor if you have any health concerns, and ask him or her which tests are right for you.

It’s important to note that you will only be able to get these services with no out-of-pocket costs when you go to a doctor or clinic in your plan’s network. To make sure a doctor or clinic is in your plan’s network, use our Provider Finder® tool. 

Most recent update: 1/11/2018

*If you have a grandfathered plan (plan that was in existence on March 23, 2010), preventive care without out-of-pocket costs may not apply to you. 

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