Why doesn’t the State provide more preventative coverage like physicals or pap smears?
A. The State Health Plan provides coverage for a number of preventative procedures, including Pap smears. Members can receive a comprehensive blood analysis – including blood pressure and cholesterol checks – for just $15 through our Prevention Partners Worksite Screening program. Additionally, routine four-view mammograms are covered for women 35 and older, as are routine immunizations and checkups for children through age 12. Generally speaking, the plan covers procedures recommended by the U.S. Preventive Services Task Force, an independent panel of experts in primary care and prevention that systematically reviews what treatments are effective. It does not recommend that individuals have an annual physical. However, HMO options that cover physicals and other preventive procedures that are not included in the State Health Plan.
