Care to keep you well.
Zero cost
You’ll pay nothing when you see a network doctor
for covered preventive services.
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.
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.