Care to keep you well.
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Zero cost
You’ll pay nothing when you see a network doctor
for covered preventive services.
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What’s covered?
Your plan determines which checkups, vaccinations, tests, screenings, and other services are preventive care. This may depend on how your provider categorizes the services.
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Network only
If you receive preventive care
outside your plan’s network,
you’ll pay some of the cost.
Network coverage
Eligible network preventive care services are covered at 100% by the Premier, Contribution, Saver, 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.
Out-of-network coverage
If you choose a doctor outside the network, you’ll pay 50% of the eligible costs in the Premier, Contribution, or Saver plans, or 75% in the PPO Plan. If you’re in a Local Plan there’s no out-of-network coverage except in an emergency.
HMO plans
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 for details.
Here’s a partial list of covered preventive care services. Keep in mind that some services are covered only if you’re a certain age or at risk for a specific condition.
- Annual preventive checkups for all covered family members
- Immunizations for children and some adults
- Seasonal vaccinations
- Pap tests, mammograms, colonoscopies, and other screening services
- Well-woman visits and associated preventive services
- Preventive services for pregnant women
- Behavioral screening and counseling
You’ll find a complete list in the Associate Benefits Book.
More resources
Need help?
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