Preventive Core is a health plan that focuses on preventive care. This health plan meets ACA requirements for minimum essential coverage (otherwise known as MEC). Fair-priced healthcare This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . Care coordination Preventive Core health plans have no network restrictions and include care coordination services to help you make appointments and locate providers that work well with your benefits. To learn more about care coordination click here . To view information about your Preventive Core health plan, click here and select your specific plan name.
If you have a health plan that covers preventive care, it may depend on how the doctor bills for your visit. For example, if you discuss specific health issues during an annual preventive visit, your doctor might bill an additional appointment for an office visit or sick visit, leading to a copay or full payment required for the additional visit. Also, it is important to note that n ot all procedures or tests recommended by your doctor will qualify as preventive care under the Affordable Care Act (ACA).
Preventive Basic health plans are now known as Preventive Core health plans. Click here to visit the Preventive Core article.
It depends. Your health plan covers preventive services, including some routine, preventive blood work, as outlined by the Affordable Care Act (ACA). To be certain of whether or not your lab work will be covered, your provider can contact the Benefit Advocate team to verify that the labs they want to order for you will be covered by your health plan.
Group health plans managed by Planstin offer preventive care coverage as outlined by the ACA. Some plans may require that these preventive services be performed in-network for coverage. Not all plans cover diagnostic exams. Note: Please see your plan’s Statement of Benefits and Coverage (SBC) or call us a t 888-920-7526 for specific details about your plan. What is a preventive health screening? A preventive health screening, such as a colonoscopy or mammogram, is performed as a part of your routine health care. Your doctor may order one once you reach a certain age to ensure there are no unseen health changes. What is a diagnostic health exam? A diagnostic health exam, such as a diagnostic colonoscopy or mammogram, is performed when you or your doctor are concerned about changes in your health. Your doctor will order a diagnostic exam to try and find the cause of your symptoms and to make a medical diagnosis.
If you have an employer-sponsored, Planstin-managed health plan, it includes preventive care as outlined by the Affordable Care Act. All of these preventive services are 100% covered by your plan. Your 100% covered preventive services include: Annual Wellness Visit Health Screenings Immunizations Cancer Screenings Child's Vision Acuity Screening You can access the full list of preventive services here . If you receive preventive care covered by your health plan, your plan will take care of the bill. If, for any reason, you receive a bill for preventive care from your provider, contact a Benefit Advocate at 888-920-7526 .
