I am unclear about how preventive and wellness benefits work. How many services can I receive for one copay, and what is subject to the coinsurance and deductible?
The initial copay covers services received during a primary care physician visit. Additional services such as mammograms and lab work, even if received outside of the doctor’s office, are also covered under the initial copay. If more services are required, such as x-rays, EEG or an EKG, they may be covered at 100% if performed in a physician’s office. If the services are performed in an outpatient clinic setting, they may be subject to the deductible and coinsurance.
Related Questions
- I am unclear about how preventive and wellness benefits work. How many services can I receive for one copay, and what is subject to the coinsurance and deductible?
- Do I have to pay a copay, deductible or coinsurance when obtaining a UMatter Preventive Care service?
- How do I know which medications are considered preventive (not subject to deductible or coinsurance?)
