Network preventive care services in most areas are covered at 100% in the Premier, Contribution, Saver, eComm PPO, and Local Plans. This means if you see a doctor in your plan’s network for specific preventive services, you pay nothing, and you don’t even need to reach your plan’s deductible first. See below if you work in central Florida; Dallas/Fort Worth, Texas; or northwest Arkansas.
If you choose a doctor outside the network, in most locations you’ll pay 50% of the cost in the Premier, Contribution, Saver, or eComm PPO Plans. If you’re in a Local Plan in any location, there’s no out-of-network coverage except in an emergency.
Other office visits
If you see a network doctor for something else and you also receive preventive care during the visit, those preventive services are 100% covered — but you’ll still have to pay your share of the cost for the original purpose of the visit.
If you’re in an HMO Plan, you’ll get 100% coverage for preventive care when you see doctors in your network. See your plan's website or ask your People Partner.