Preventive Screenings Can Save Your Life

Woman with doctor

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 Preventive health chart


The quick-reference chart below lists screenings your plan covers in 2023. 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 30% coinsurance
Wellness Visit Once every calendar year. $01 $01 30% coinsurance

Cancer Screenings

Breast Cancer One mammogram every 12 months—clinical breast exam once every 24 months. $0 $0 30% coinsurance
Cervical Cancer Once every 24 months, or every 12 months if at high risk. $0 $0 30% coinsurance
Colorectal Cancer Colonoscopy screening once every 24 months if at high risk—once every 10 years if not at high risk. $0 $0 30% coinsurance for a colorectal cancer screening exam, 30% coinsurance after deductible for barium enemas
Prostate Cancer Once every 12 months. $0 $0 30% coinsurance for a prostate specific antigen (PSA) test, 30% coinsurance after deductible for a digital rectal exam

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 $50 after deductible
Routine Vision Exam Once a year. $0 $0 $50 after deductible
Glaucoma Once every calendar year if you are at high risk for glaucoma. $0 $0 $50 after deductible

Other Screenings

Cardiovascular Disease Testing Once every 5 years. $0 $0 30% coinsurance
Diabetes Based on test results, up to 2 screenings every 12 months. $0 $0 30% coinsurance
Osteoporosis If at risk, once every 24 months or more often if medically necessary. $0 $0 30% coinsurance
Depression Once every calendar year. $0 $0 30% coinsurance
Abdominal Aortic Aneurysms Once per lifetime if at risk. $0 $0 30% coinsurance
STIs Once every 12 months, or more often if medically necessary. $0 $0 30% coinsurance
HIV Once every 12 months. $0 $0 30% coinsurance

 

1A copay may apply if you receive services that address a medical condition during an annual physical or Annual Wellness Visit.