Preventive services are designed to help identify potential health risks, allowing for early diagnosis and treatment. When done regularly, members not only save valuable time and money, but also experience better overall health outcomes.
Preventive care includes annual preventive exams, cancer screenings, vaccinations (see Vaccinations section below), age-specific screenings and more.
Preventive care and screenings recommended by the U.S. Preventive Services Task Force (categories A and B) are covered at 100% when received from a network provider. Additional services for women and for infants, children and adolescents supported by the Health Resources and Services Administration (HRSA), including the American Academy of Pediatrics Bright Futures periodicity guidelines, are also considered preventive.
See also Naturally Slim®, new benefit in 2019.
There are certain medications that MCHCP will cover at 100% when accompanied by a prescription and filled at a network pharmacy. View Prescription Drug Plan > Preventive Services for more information.
Vaccinations recommended by the Advisory Committee for Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) are covered.
Non-network vaccinations are covered 100% for ages from birth to 72 months, 40% coinsurance after deductible for persons age 6 and older. When preventive vaccinations are obtained from a non-network provider or pharmacy, the member must submit a receipt and a Vaccine Reimbursement (Non-network) form to their medical plan to receive reimbursement up to $25.
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