Use Your Preventive Care Benefits

Our health plans offer all the preventive care services and immunizations below at no cost to you.1 As long as you use a doctor, pharmacy, or lab in your plan’s network, you won’t have to pay anything. If you go to doctors or facilities that are not in your plan, you may have to pay out of pocket. If you are not sure which exams, tests, or shots are right for you, talk to your doctor. Preventive care vs. diagnostic care: Knowing the difference Preventive care helps protect you from getting sick. If your doctor recommends services when you have no symptoms, that’s preventive care. Diagnostic care is when you have symptoms, and your doctor recommends services to determine what’s causing those symptoms. Use your preventive care benefits Stay healthy and catch problems early for easier treatment Adult preventive care General preventive physical exams, screenings, and tests (all adults): • Alcohol and drug misuse: related screening and behavioral counseling • Anxiety, depression, and suicide risk screenings • Aortic aneurysm screening (for men who have smoked) • Behavioral counseling to promote a healthy diet and physical activity • High blood pressure (hypertension) screening • Bone density test to screen for osteoporosis • Cholesterol and lipid (fat) levels screening • Colorectal cancer screenings, including fecal occult blood test, barium enema, flexible sigmoidoscopy (exam of the large intestine), screening colonoscopy and related prep kit, and computed tomography (CT) colonography (as appropriate)2 • Diabetes screening (type 2)3 • Exercise interventions to prevent falls in adults over age 65

• Hepatitis B virus (HBV) screening for people at increased risk of infection • Hepatitis C virus (HCV) screening • Hearing screening • Height, weight, and body mass index (BMI) measurements • Human immunodeficiency virus (HIV): screening and counseling • Interpersonal and domestic violence: screening and counseling • Lung cancer screening for adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years2 • Obesity: related screening and counseling3 • Prostate cancer screenings, including digital rectal exam and prostate-specific antigen (PSA) test • Sexually transmitted infections: related screening and counseling • Syphilis infection screening for persons who are at increased risk • Tobacco use: related screening and behavioral counseling • Tuberculosis screening Women’s preventive care: • Breast cancer screenings, including exam, mammogram, and genetic testing for BRCA1 and BRCA2 when certain criteria are met5 • Breastfeeding: primary care intervention to promote breastfeeding support, supplies, and counseling6,7,8/9 • Chlamydia and gonorrhea screening • Contraceptive (birth control) counseling • Counseling related to chemoprevention for those at high risk for breast cancer • Counseling related to genetic testing for those with a family history of ovarian or breast cancer • Food and Drug Administration (FDA)-approved contraceptive medical services, including sterilization, provided by a doctor • Human papillomavirus (HPV) screening7 • Pelvic exam and Pap test, including screening for cervical cancer • Pregnancy screenings, including gestational diabetes, hepatitis B, asymptomatic bacteriuria, Rh incompatibility, HIV, healthy weight, preeclampsia, and depression7 • Urinary incontinence screening • Well-woman visits Immunizations: • Diphtheria, tetanus, and pertussis (whooping cough) • Hepatitis A and hepatitis B • Human papillomavirus (HPV) • Influenza (flu) • Measles, mumps, and rubella (MMR) • Meningococcal (meningitis) • Monkeypox and/or smallpox (at risk) • Pneumococcal (pneumonia) • Respiratory syncytial virus (RSV) • Severe acute respiratory syndrome coronavirus 2 (SARS CoV 2)(COVID-19) • Varicella (chickenpox) • Zoster (shingles) T .uoy rof th gir s’ta h w rotco d ruoy ksA .n osre p yreve rof th gir e b to n ya m yehT .e g n a hc ot tcejb us era d n a )A C A( tcA era C elb a droffA eht fo sn oita d ne m m ocer era evo b a d etsil secivres erac evitneverp eh T htiw ycilo p ro tcartn oc a to n si teehs sih A dleihS eulB d n a ssorC eulB m ehtn . rof etacfiitrec ro m rof erusolcsid d n a )C O E( e g arevoc fo ecne dive d enib m oc ruoy ees esa elP .elur lliw sn oisivorp ycilo p p uorg eht ,ycilo p p uorg eht d n a teehs siht nee wte b ecnereffid yn a si ereht fI e .sn oitati m il d n a sn oisulcx

Immunizations: • Chickenpox • Flu • Haemophilus influenza type B (HIB) • Hepatitis A and hepatitis B • Human papillomavirus (HPV) • Meningitis • Measles, mumps, and rubella (MMR) • Pneumonia • Polio • Respiratory syncytial virus (RSV) • Rotavirus • Severe acute respiratory syndrome coronavirus 2 (SARS CoV 2)(COVID-19) • Whooping cough Child preventive care Preventive physical exams, screenings, and tests: • Anemia screening • Anxiety, depression, and suicide risk screenings • Autism Spectrum Disorder (ASD) screening • Blood pressure screening • Cervical dysplasia (abnormal cell growth on the cervix) screening • Cholesterol and lipid (fat) levels screening • Development and behavior screening • Diabetes screening (type 2) • Hearing screening • Height, weight, and BMI measurements • Hemoglobin or hematocrit (blood count) screening • Hepatitis B screening • HIV screening • Lead testing • Newborn screening • Obesity: related screening and counseling • Ocular prophylaxis for Gonococcal Ophthalmia Neonatorium: Preventive medication: newborns • Oral (dental health) assessment, when done as part of a preventive care visit • Sexually transmitted infections: related screening and counseling • Skin cancer counseling for those ages 6 months to 24 years with fair skin • Sudden cardiac arrest/death risk assessment • Tobacco, alcohol, and drug use assessments • Vision screening for those ages 6 months to 5 years

Coverage for pharmacy items For 100% coverage of your over-the-counter (OTC) drugs and other pharmacy items listed here, you must: • Meet certain age requirements and other rules • Receive and fill prescriptions from doctors, pharmacies, or other healthcare professionals in your plan’s network • Have prescriptions, including for OTC items Women’s preventive drugs and other pharmacy items (age appropriate): • Breast cancer risk-reducing medications, such as tamoxifen, raloxifene, and aromatase inhibitors, that follow the U.S. Preventive Services Task Force criteria2 • Contraceptives, including generic prescription drugs and OTC items like condoms and spermicides7,8 • Folic acid for women ages 55 or younger who are planning to become pregnant • Low-dose aspirin (81 mg) for pregnant women who have an increased risk of preeclampsia Adult preventive drugs and other pharmacy items (age appropriate): • Aspirin use (81 mg and 325 mg) for the prevention of cardiovascular disease (CVD), preeclampsia, and colorectal cancer in adults younger than age 70 • Colonoscopy prep kit (generic or OTC only) when prescribed for preventive colon screening for members ages 45 to 75 • Generic low-to-moderate dose statins for members ages 40 to 75 who have one or more CVD risk factors (dyslipidemia, diabetes, hypertension, or smoking) • Preexposure prophylaxis (PrEP) for the prevention of HIV • Tobacco cessation products, including all FDA- approved brand-name and generic OTC and prescription products, for members ages 18 and older Child preventive drugs and other pharmacy items (age appropriate): • Dental fluoride varnish to prevent tooth decay in children ages 5 and younger • Fluoride supplements for children ages 6 and younger I r e b m u n s e civ r e S r e b m e M e h t ll a c ,st fi e n e b e r a c e vit n e v e r p r u o y g n i d n a tsr e d n u p l e h e r o m e kil d’u o y f o e l b a d r o ff A e h t r e d n u s g u r d e vit n e v e r p d e r e v o c f o tsil e t e l p m o 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