Common use of Travel Immunizations Clause in Contracts

Travel Immunizations. This agreement covers additional immunizations only when rendered before travel. Immunizations are only covered to the extent that such immunizations are recommended for adults and children by the Centers for Disease Control and Prevention (CDC). The recommendations are subject to change by the CDC. Preventive Screening/Early Detection Services Preventive screenings are covered based on the PPACA guidelines noted above. Preventive screenings include but are not limited to: mammograms, pap smears, PSA test, flexible sigmoidoscopy, colonoscopy, double contrast barium enema, and fecal occult blood tests, screening for gestational diabetes, and human papillomavirus. Genetic Counseling for BRCA This agreement provides coverage for genetic counseling and evaluation performed by a certified genetic counselor for BRCA testing for female subscribers whose family history is associated with an increased risk for deleterious (harmful) mutations in BRCA1 or BRCA2 genes. Contraceptive Methods and Sterilization Procedures for Women This agreement provides coverage for the following:  FDA approved contraceptive drugs requiring a prescription;  FDA approved contraceptive devices requiring a prescription;  sterilization services for women with reproductive capacity;  barrier method (cervical cap or diaphragm) fitted and supplied during an office visit; and  surgical services, including but not limited to tubal ligation and insertion/removal of IUD. For prescription drugs, dispensed and administered by a licensed health care provider (other than a pharmacist) see Summary of Medical Benefits for the amount you pay. For prescription drugs purchased at a pharmacy, see the Summary of Pharmacy Benefits for the amount you pay. Vasectomy (sterilization procedure for men) is covered as a surgical procedure. See Section

Travel Immunizations. This agreement covers additional immunizations only when rendered before travel. Immunizations are only covered to the extent that such immunizations are recommended for adults and children by the Centers for Disease Control and Prevention (CDC). The recommendations are subject to change by the CDC. Preventive Screening/Early Detection Services Preventive screenings are covered based on the PPACA guidelines noted above. Preventive screenings include but are not limited to: mammograms, pap smears, PSA test, flexible sigmoidoscopy, colonoscopy, double contrast barium enema, and fecal occult blood tests, screening for gestational diabetes, and human papillomavirus. One pap smear annually is covered at the level of coverage for early detection services as shown in the Summary of Medical Benefits. The level of coverage for your second and subsequent pap smear is covered as a lab test. For information about lab, radiology, and machine tests see Section 3.37 - Tests, Imaging, and Labs. Genetic Counseling for BRCA This agreement provides coverage for genetic counseling and evaluation performed by a certified genetic counselor for BRCA testing for female subscribers whose family history is associated with an increased risk for deleterious (harmful) mutations in BRCA1 or BRCA2 genes. Contraceptive Methods and Sterilization Procedures for Women This agreement provides coverage for the following:  • FDA approved contraceptive drugs requiring a prescription;  • FDA approved contraceptive devices requiring a prescription;  • sterilization services for women with reproductive capacity;  • barrier method (cervical cap or diaphragm) fitted and supplied during an office visit; and  • surgical services, including but not limited to tubal ligation and insertion/removal of IUD. For prescription drugs, dispensed and administered by a licensed health care provider (other than a pharmacist) see Summary of Medical Benefits for the amount you pay. For prescription drugs purchased at a pharmacy, see the Summary of Pharmacy Benefits for the amount you pay. Vasectomy (sterilization procedure for men) is covered as a surgical procedure. See Section

Travel Immunizations. This agreement covers additional immunizations only when rendered before travel. Immunizations are only covered to the extent that such immunizations are recommended for adults and children by the Centers for Disease Control and Prevention (CDC). The recommendations are subject to change by the CDC. Preventive Screening/Early Detection Services Preventive screenings are covered based on the PPACA guidelines noted above. Preventive screenings include but are not limited to: mammograms, pap smears, PSA test, flexible sigmoidoscopy, colonoscopy, double contrast barium enema, and fecal occult blood tests, screening for gestational diabetes, and human papillomavirus. One pap smear annually is covered at the level of coverage for early detection services as shown in the Summary of Medical Benefits. The level of coverage for your second and subsequent pap smear is covered as a lab test. For information about lab, radiology, and machine tests see Section 3.37 - Tests, Imaging, and Labs. Genetic Counseling for BRCA This agreement provides coverage for genetic counseling and evaluation performed by a certified genetic counselor for BRCA testing for female subscribers whose family history is associated with an increased risk for deleterious (harmful) mutations in BRCA1 or BRCA2 genes. Contraceptive Methods and Sterilization Procedures for Women This agreement provides coverage for the following:  FDA approved contraceptive drugs requiring a prescription;  FDA approved contraceptive devices requiring a prescription;  sterilization services for women with reproductive capacity;  barrier method (cervical cap or diaphragm) fitted and supplied during an office visit; and  surgical services, including but not limited to tubal ligation and insertion/removal of IUD. For prescription drugs, dispensed and administered by a licensed health care provider (other than a pharmacist) see Summary of Medical Benefits for the amount you pay. For prescription drugs purchased at a pharmacy, see the Summary of Pharmacy Benefits for the amount you pay. Vasectomy (sterilization procedure for men) is covered as a surgical procedure. See Section

Travel Immunizations. This agreement covers additional immunizations only when rendered before travel. Immunizations are only covered to the extent that such immunizations are recommended for adults and children by the Centers for Disease Control and Prevention (CDC). The recommendations are subject to change by the CDC. Preventive Screening/Early Detection Services Preventive screenings are covered based on the PPACA guidelines noted above. Preventive screenings include but are not limited to: mammograms, pap smears, PSA test, flexible sigmoidoscopy, colonoscopy, double contrast barium enema, and fecal occult blood tests, screening for gestational diabetes, and human papillomavirus. Genetic Counseling for BRCA This agreement provides coverage for genetic counseling and evaluation performed by a certified genetic counselor for BRCA testing for female subscribers whose family history is associated with an increased risk for deleterious (harmful) mutations in BRCA1 or BRCA2 genes. Contraceptive Methods and Sterilization Procedures for Women This agreement provides coverage for the following:  • FDA approved contraceptive drugs requiring a prescription;  • FDA approved contraceptive devices requiring a prescription;  • sterilization services for women with reproductive capacity;  • barrier method (cervical cap or diaphragm) fitted and supplied during an office visit; and  • surgical services, including but not limited to tubal ligation and insertion/removal of IUD. For prescription drugs, dispensed and administered by a licensed health care provider (other than a pharmacist) see Summary of Medical Benefits for the amount you pay. For prescription drugs purchased at a pharmacy, see the Summary of Pharmacy Benefits for the amount you pay. Vasectomy (sterilization procedure for men) is covered as a surgical procedure. See Section

Travel Immunizations. This agreement covers additional immunizations only when rendered before travel. Immunizations are only covered to the extent that such immunizations are recommended for adults and children by the Centers for Disease Control and Prevention (CDC). The recommendations are subject to change by the CDC. Preventive Screening/Early Detection Services Preventive screenings are covered based on the PPACA guidelines noted above. Preventive screenings include but are not limited to: mammograms, pap smears, PSA test, flexible sigmoidoscopy, colonoscopy, double contrast barium enema, and fecal occult blood tests, screening for gestational diabetes, and human papillomavirus. Genetic Counseling for BRCA This agreement provides coverage for genetic counseling and evaluation performed by a certified genetic counselor for BRCA testing for female subscribers whose family history is associated with an increased risk for deleterious (harmful) mutations in BRCA1 or BRCA2 genes. Contraceptive Methods and Sterilization Procedures for Women This agreement provides coverage for the following:  FDA approved contraceptive drugs requiring a prescription;  FDA approved contraceptive devices requiring a prescription;  sterilization services for women with reproductive capacity;  barrier method (cervical cap or diaphragm) fitted and supplied during an office visit; and  surgical services, including but not limited to tubal ligation and insertion/removal of IUD. For prescription drugs, dispensed and administered by a licensed health care provider (other than a pharmacist) see Summary of Medical Benefits for the amount you pay. For prescription drugs purchased at a pharmacy, see the Summary of Pharmacy Benefits for the amount you pay. Vasectomy (sterilization procedure for men) is covered as a surgical procedure. See SectionSection 3.35 - Surgery Services and the Summary of Medical Benefits for details about how we cover surgical services.

Travel Immunizations. This agreement covers additional immunizations only when rendered before travel. Immunizations are only covered to the extent that such immunizations are recommended for adults and children by the Centers for Disease Control and Prevention (CDC). The recommendations are subject to change by the CDC. Preventive Screening/Early Detection Services Preventive screenings are covered based on the PPACA guidelines noted above. Preventive screenings include but are not limited to: mammograms, pap smears, PSA test, flexible sigmoidoscopy, colonoscopy, double contrast barium enema, and fecal occult blood tests, screening for gestational diabetes, and human papillomavirus. Genetic Counseling for BRCA This agreement provides coverage for genetic counseling and evaluation performed by a certified genetic counselor for BRCA testing for female subscribers whose family history is associated with an increased risk for deleterious (harmful) mutations in BRCA1 or BRCA2 genes. Contraceptive Methods and Sterilization Procedures for Women This agreement provides coverage for the following:  • FDA approved contraceptive drugs requiring a prescription;  • FDA approved contraceptive devices requiring a prescription;  • sterilization services for women with reproductive capacity;  • barrier method (cervical cap or diaphragm) fitted and supplied during an office visit; and  • surgical services, including but not limited to tubal ligation and insertion/removal of IUD. For prescription drugs, dispensed and administered by a licensed health care provider (other than a pharmacist) see Summary of Medical Benefits for the amount you pay. For prescription drugs purchased at a pharmacy, see the Summary of Pharmacy Benefits for the amount you pay. Vasectomy (sterilization procedure for men) is covered as a surgical procedure. See SectionSection 3.35 - Surgery Services and the Summary of Medical Benefits for details about how we cover surgical services.

Travel Immunizations. This agreement covers additional immunizations only when rendered before travel. Immunizations are only covered to the extent that such immunizations are recommended for adults and children by the Centers for Disease Control and Prevention (CDC). The recommendations are subject to change by the CDC. Preventive Screening/Early Detection Services Preventive screenings are covered based on the PPACA guidelines noted above. Preventive screenings include but are not limited to: mammograms, pap smears, PSA test, flexible sigmoidoscopy, colonoscopy, double contrast barium enema, and fecal occult blood tests, screening for gestational diabetes, and human papillomavirus. Genetic Counseling for BRCA This agreement provides coverage for genetic counseling and evaluation performed by a certified genetic counselor for BRCA testing for female subscribers members whose family history is associated with an increased risk for deleterious (harmful) mutations in BRCA1 or BRCA2 genes. Contraceptive Methods and Sterilization Procedures for Women This agreement provides coverage for the following:  • FDA approved contraceptive drugs requiring a prescription;  • FDA approved contraceptive devices requiring a prescription;  • sterilization services for women with reproductive capacity;  • barrier method (cervical cap or diaphragm) fitted and supplied during an office visit; and  • surgical services, including but not limited to tubal ligation and insertion/removal of IUD. For prescription drugs, dispensed and administered by a licensed health care provider (other than a pharmacist) see Summary of Medical Benefits for the amount you pay. For prescription drugs purchased at a pharmacy, see the Summary of Pharmacy Benefits for the amount you pay. Vasectomy (sterilization procedure for men) is covered as a surgical procedure. See Section