How are Preventive Care Services covered?
A. Your plan includes an in-network preventive care maximum. This benefit covers annual routine physical exams, annual woman care exams and mammograms at 100% up to your plan’s set maximum amount. Baby/Child Wellness (preventive pediatric services) is covered at 100% up to a set maximum amount per year. Any preventive care services received after you’ve reached your maximum amount or by a non-network provider will be applied to your plan’s deductible and coinsurance.
A. If you are on a Grandfathered plan, your plan includes an in-network preventive care maximum. This benefit covers annual routine physical exams, annual woman care exams and mammograms at 100% up to your plan’s set maximum amount. Baby/Child Wellness (preventive pediatric services) is covered at 100% up to a set maximum amount per year. Any preventive care services received after you’ve reached your maximum amount or by a non-network provider will be applied to your plan’s deductible and coinsurance.
