Preventive Care
Please note by clicking the button below you will be sent to a third-party website that could display services that may not be covered with your policy. It’s important to check your plan documents to determine which preventive services are covered for you. If you have any questions, call Customer Service at 1-800-472-2363 (TTY 711).
Your primary care provider and you
Primary care providers (PCP) are preventive care specialists who can help you reduce your risks and help you create lifelong healthy habits. They get to know you and your family, your work demands and exercise habits, and partner with you for the best health-related choices for you.If you don't have a PCP, you can preview providers in your plan’s network using our Find a Doctor tool. Select any one of the following specialties and make an appointment for your preventive care visit:
- Family Medicine
- General Practice
- Geriatric Medicine
- Internal Medicine
- Pediatrics
Preventive care done differently
We handle preventive care differently than most other health insurance companies. When you receive preventive services, they are covered with no member cost-share, even if the services are billed with a diagnosis that was previously identified. With most other health insurance coverage, if a member was previously diagnosed with an illness, the current visit is coded as diagnostic and is no longer considered preventive. It is important to note, if a provider gives our members preventive care and also evaluates or treats a problem on the same day, two separate services may be billed by the provider: a preventive visit and an office visit. When this happens, the additional services the member receives are subject to the plan's applicable deductible, coinsurance and copays.
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What does this mean?
For example, if you have been diagnosed with high cholesterol in the past we will cover your first annual blood work at your preventive care visit under your plan's preventive care benefits. Or if you have a colonoscopy as part of your preventive care exam and your provider determines you need to have a polyp removed, we will cover that service under your plan's preventive care benefit. -
Why do we do this?
We are committed to enriching our members’ lives so our members can reach their best health. Preventive care will help preserve and frequently improve our members’ health, and in the long run that contributes to lower health care costs. Preventive care is a benefit to our members both medically and financially.