Screening and Immunization Services. The following services provided by or under the supervision of your Provider are covered, including: • Routine physicals and exams; • Adult, child and adolescent immunizations (immunizations for the sole purpose of travel, occupation, or residence in a foreign country are not covered by this plan); • Colorectal cancer screening (Subscribers 50 years of age and older, or under 50 years of age when high- risk); • Depression screening for all adults, including pregnant and postpartum women; • Mammogram services, diagnostic and screening; • Preventive and wellness services, including chronic disease management; • Prostate cancer screening; and • Services, tests and screening as recommended by the: o Centers for Disease Control (CDC); o Health Resources and Services Administration; and o U.S. Preventive Services Task Force, which includes screening and tests for A and B recommendations for prevention and chronic care.
Screening and Immunization Services. The following services provided by or under the supervision of your Provider are covered, including: Routine physicals and exams; Adult, child and adolescent immunizations (immunizations for the sole purpose of travel, occupation, or residence in a foreign country are not covered by this plan); Colorectal cancer screening (Subscribers 50 years of age and older or under 50 years of age when high risk); Mammogram services; diagnostic and screening; Preventive and wellness services including chronic disease management; Prostate cancer screening; and Services, tests and screening as recommended by the: o Centers for Disease Control (CDC); o Health Resources and Services Administration; and o U.S. Preventive Services Task Force, which includes screening and tests for A and B recommendations for prevention and chronic care . For more information on the recommendations of the CDC, US Preventive Services Task Force, and the Health Resources and Services Administration, visit the following website: xxx.xxxxxxxxxx.xxx/xxxxxx/xxxxxxxxxxx/xxxxxxxxxx/xxxxxxxxxxxxxxx.xxxx Professional Services This benefit applies to in‐person and Telemedicine visits. Telemedicine services include audio and video communication services between a distant‐site Provider, the patient and a consulting Practitioner when the originating (distant) site is a rural health professional shortage area as defined by the Centers for Medicare and Medicaid Services. Charges for care provided by phone, fax, e‐mail, or Internet, other than covered Telemedicine visits, are not covered. Plastic and Reconstructive Procedures Reconstructive procedures when the primary purpose of the procedure is either to treat a medical condition or to improve or restore physiologic function. Reconstructive procedures include surgery or other procedures performed to correct or repair abnormal structures of the body caused by trauma, infection, tumors, disease, accidental Injury or prior surgery (if the prior surgery would be covered under this Plan). In the case of accidental Injury, services must be completed within 12 months of the initial Injury. Cosmetic Procedures are excluded from coverage. The fact that a Covered Person may suffer psychological consequences or socially avoidant behavior as a result of an Injury or Illness does not classify surgery (or other procedures done to relieve such consequences or behavior) as a reconstructive procedure. This benefit also includes procedures that correct anatomica...
