What are wellness services?
The deductible does not apply to wellness services. Wellness services include “screening” tests and preventive services such as childhood immunizations. Services will be treated as wellness claims when they are billed by the provider with appropriate wellness procedure and diagnosis codes. For example, if an office visit is billed as a physical exam without symptoms of illness, a deductible will not be applied. If the physical exam is billed as a problem-focused exam with a diagnosis of chest pain, the deductible will be applied. Examples of typical wellness services that are covered with only a copay and no deductible are the following screening exams: annual physicals; Pap tests; mammograms; routine eye and diabetic eye exams; screening lab tests (such as for prostate, cholesterol, colon cancer), colonoscopy, and some screening bone density exams (check with Anthem for specific bone scans). Wellness services also include routine childhood, adolescent, and adult immunizations. Immuniz
