Coverage for preventive services

As part of National Health Care Reform, preventive services such as annual health exams, immunizations, screenings and tests will be covered at 100 percent for all members (except members of grandfathered plans).

Preventive services (as defined by the Affordable Care Act) are geared toward preventing illness, disease, or detecting other health problems.

You won’t have any out-of-pocket costs (no copayment, coinsurance or deductible) for these services if you get them from a provider in our network, and the primary reason for your visit is to get preventive care. Out-of-pocket costs may apply if you receive services that are not considered preventive during the same visit.

Also, if any of these services are used to diagnose, monitor or treat an illness, injury or other health problem, out-of-pocket costs will apply.

Please check your plan documents for specific coverage and deductible/copay information.  You can view your coverage benefits through Member Secured Services or call Customer Service.


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page modified 03/27/2012