Preventive Services

Standard Preventive Care is covered by the plan at 100% (in network), but your physician must code the service as preventive care when submitting it to insurance. If the service is coded as “diagnostic”, it would be eligible for coverage as any other medical service (not at 100%).

Services covered as Preventive Care:
  • Annual Wellcare/Preventive Physical – for associate and covered dependents
  • Immunizations – for associate and covered dependents
  • Annual Mammograms and Pap Smears – for associate and covered dependents
  • Annual PSA (Prostate Cancer Detection) – for associate and covered spouse age 45+
  • Annual FOBT (Colon Cancer Detection) – for associate and covered spouse age 50+
  • Wellcare/Preventive Colonoscopy – for associate and covered spouse age 50+
In network, the above services are covered at 100%.
Out of network, the above services are covered at 50%.
If there is no network available, the above services are covered at 100%..
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