Preventive Screenings Can Save Your Life
Which screenings do you need?
Many serious illnesses have no signs in the early stages. It’s important to talk to your doctor about screenings even if you feel fine. Age, health, and family history determine which screenings you need. Check with your doctor to see which screenings are right for you.
2023 & 2024 Preventive health chart
The quick-reference chart below lists screenings your plan covers in 2023 and 2024. It is not a recommendation for how often to have a screening. Please talk to your doctor about what screenings are right for you. For more complete benefit information see your Evidence of Coverage (EOC) booklet.
| Screening | Your coverage | Copay (HMO) | Copay (PPO In Network) | Copay (PPO Out of Network) |
| Physical Exam | Once every calendar year. | $01 | $01 | 2023: 30% coinsurance 2024: 40% coinsurance |
| Wellness Visit | Once every calendar year. | $01 | $01 | 2023: 30% coinsurance 2024: 40% coinsurance |
Cancer Screenings | ||||
| Breast Cancer | One mammogram every 12 months—clinical breast exam once every 24 months. | $0 | $0 | 2023: 30% coinsurance 2024: 40% coinsurance |
| Cervical Cancer | Once every 24 months, or every 12 months if at high risk. | $0 | $0 | 2023: 30% coinsurance 2024: 40% coinsurance |
| Colorectal Cancer | Colonoscopy screening once every 24 months if at high risk—once every 10 years if not at high risk. | $0 | $0 | 2023: 30% coinsurance for a colorectal cancer screening exam, 30% coinsurance after deductible for barium enemas 2024: 40% coinsurance |
| Prostate Cancer | Once every 12 months. | $0 | $0 | 2023: 30% coinsurance for a prostate specific antigen (PSA) test, 30% coinsurance after deductible for a digital rectal exam 2024: 40% coinsurance |
Immunizations | ||||
| Flu Shot | Once per flu season (fall or winter). | $0 | $0 | $0 |
| Pneumonia | As medically necessary. | $0 | $0 | $0 |
| Hepatitis B | As medically necessary. | $0 | $0 | $0 |
| COVID-19 | As medically necessary. | $0 | $0 | $0 |
Sensory Screenings | ||||
| Routine Hearing Exam | Once a year. | $0 | $0 | 2023: $50 after deductible 2024: $65 |
| Routine Vision Exam | Once a year. | $15 | $0 | 2023: $50 after deductible 2024: $65 |
| Glaucoma | Once every calendar year if you are at high risk for glaucoma. | $0 | $0 | 2023: $50 after deductible 2024: $65 |
Other Screenings | ||||
| Cardiovascular Disease Testing | Once every 5 years. | $0 | $0 | 2023: 30% coinsurance 2024: 40% coinsurance |
| Diabetes | Based on test results, up to 2 screenings every 12 months. | $0 | $0 | 2023: 30% coinsurance 2024: 40% coinsurance |
| Osteoporosis | If at risk, once every 24 months or more often if medically necessary. | $0 | $0 | 2023: 30% coinsurance 2024: 40% coinsurance |
| Depression | Once every calendar year. | $0 | $0 | 2023: 30% coinsurance 2024: 40% coinsurance |
| Abdominal Aortic Aneurysms | Once per lifetime if at risk. | $0 | $0 | 2023: 30% coinsurance 2024: 40% coinsurance |
| STIs | Once every 12 months, or more often if medically necessary. | $0 | $0 | 2023: 30% coinsurance 2024: 40% coinsurance |
| HIV | Once every 12 months. | $0 | $0 | 2023: 30% coinsurance 2024: 40% coinsurance |
1A copay may apply if you receive services that address a medical condition during an annual physical or Annual Wellness Visit.