Preventive Care Coverage

 
 

Healthy Focus

Preventive Care Coverage

Preventive Care Coverage

To help you stay healthy and avoid serious illness, preventive care is covered at 100 percent in-network with no deductible. When you enroll in either the Healthy Focus Advantage Plan or Healthy Focus Essential Plan, you pay nothing when you receive preventive care from an in-network provider.

Covered Preventive Care

The following services are covered as routine screenings, not diagnostic services:

  • Cholesterol screening
  • Colon cancer screening
  • Colonoscopy
  • Routine adult physical and well child care
  • Immunizations (routine adult and child)
  • Mammography
  • Pap smear
  • Prostate cancer screening (PSA)
  • Well woman preventive care (e.g., contraceptives, sterilization, breast pump)

For more information, including age and frequency limits, see the detailed list of covered preventive care services provided by Anthem and Aetna.

Preventive Prescription Drugs

For certain preventive drugs, there’s no deductible. Employees just pay the applicable copay or coinsurance. Plus, employees have lower costs for select maintenance preventive drugs filled via the Express Scripts mail order pharmacy. View the 2017 preventive drugs list, 2018 preventive drugs list, or the Express Scripts site for more information.