Wellness Benefits

 

Wellness Benefits are provided under all three PPO plans and includes:

 

Routine Preventive Care

• 100% coverage of in-network eligible charges with no deductible up to $750 annual maximum per covered person
• Eligible charges above $750 per covered person are payable but subject to deductible and coinsurance

 

Routine Preventive Care includes:

• Routine physical exams (no limit on visits)
• Routine diagnostic tests (lab and x-ray)
• Routine eye exams (includes contact lens fitting and refractions)
• Routine hearing exams

Examples of Routine Preventive Care
Routine Physical Exam	Well-Baby/Child Care
Blood Pressure Screening	Annual Prostate Exam
Annual Mammogram	Annual Fasting Blood Sugar Test
Clinical Breast Exam	Annual Cholesterol Test
Annual Pap Smear	Routine Lab (blood, urine) Testing

 

 

Periodic Preventive Tests and Services

• Payable at 100% with no deductible and no annual maximum

Periodic Preventive Services under the Wellness Benefit are:

• Routine Sigmoidoscopy
• Routine Colonoscopy
• Bone Mineral Density
• Immunizations (excluding immunizations for foreign travel)

Wellness Benefits are not subject to age or frequency limitations.