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Preventive Services

Q. 
I went to the doctor for an annual physical and I was charged for some services during my visit. What can I do to ensure my annual physical visit is covered at 100%?
A. 
You must talk with your physician to make sure they are coding your visit as “preventative”.  If a service during your annual physical is coded as “diagnostic”, then it would be eligible for coverage as any other medical service (not at 100%).
Q. 
Do I have to wait at least one full year to schedule my next annual physical?
A. 
No, one annual physical in a calendar year is eligible to be covered under the Shaw Medical Plan.  For example, if you had your annual physical in March 2016, you could have your annual physical in February 2017 and that would fall under the benefits of the Plan.  Some physicians prefer to wait one full year (from date of service to date of service) before they will schedule an annual physical, but that is not a Plan requirement.
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