Are preventive physical examinations for adults covered?
Routine screening examinations performed based on the schedule below and performed by a preferred provider with a routine diagnosis can be paid in full after the associated office-visit copayment. The covered routine screening exams are: history and risk assessment, chest x-ray, electrocardiogram (EKG), urinalysis, basic metabolic or comprehensive metabolic panel test, complete blood count (CBC), cholesterol tests and chlamydial infection test. They are covered for members as follows: Under 65: Once every three consecutive calendar years. 65 and older: Once every calendar year. Basic Option and Standard Option require a copayment for the office visit. Note: When the above services are billed with a medical diagnosis, benefits would be eligible under “Other Medical Benefits.
