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WHAT'S COVERED

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August 1, 2024
Maybe. Preventive Basic, Preventive HSA, and Preventive Copay plans do not cover maternity. However, all Care+ health plans do include coverage for maternity care. Additionally, many members with a preventive health plan also become Zion HealthShare members. A Zion HealthShare membership is designed for larger, medical needs like maternity.
August 1, 2024
Maybe. Preventive Basic, Preventive HSA, and Preventive Copay plans do not cover maternity. However, all Care+ health plans do include coverage for maternity care. Additionally, many members with a preventive health plan also become Zion HealthShare members. A Zion HealthShare membership is designed for larger, medical needs like maternity.
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May 1, 2024
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).
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May 1, 2024
Most likely. If you have Preventive series or Care+ series health plan it covers preventive services as outlined by the Affordable Care Act. If you do not have a Planstin-managed health plan and you have questions about your benefits, contact a Benefit Advocate at 888-920-7526 .
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April 10, 2024
Maybe. Preventive Basic, Preventive HSA and Preventive Copay plans do not cover ER visits. However, all Care+ health plans do include coverage for ER visits. Additionally, many members with a Preventive health plan also become Zion HealthShare members. A Zion HealthShare membership is designed for larger, unexpected medical needs like trips to the emergency room.
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April 10, 2024
Maybe. Preventive Basic, Preventive HSA, and Preventive Copay plans do not cover surgery. However, all Care+ health plans do include coverage for in-patient and out-patient medical concerns. Additionally, many members with a preventive health plan also become Zion HealthShare members. A Zion HealthShare membership is designed for larger, unexpected medical needs like surgery.
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April 10, 2024
Maybe. All Planstin-managed health plans cover preventive labs as outlined by the ACA. Beyond that, certain labs may be covered depending on your health plan. For example, if you have the Preventive Copay health plan, or the Care+ Copay plan, you have coverage for a limited number of labs—up to $100 per lab test*. *Please note: this is per test not per blood draw. To learn more about your specific plan coverage, please click on " Plan Documents " and search for the plan name listed on your member ID card. As you type in your plan name your search results will include a plan outline and SBC.
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