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Why was my preventive visit or lab not covered?

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 not all procedures or tests recommended by your doctor will qualify as preventive care under the Affordable Care Act (ACA).

Learn More

  • Read the full list of ACA preventive services for adults and children here.


  • For more information on preventive vs. diagnostic care click here.


  • Do you have a health plan? If you are unsure, contact a Benefit Advocate at 888-920-7526 for more help understanding your benefits details.

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