Preventive care, 100% covered

Keeping you healthy

Preventive care is central to Health Tradition’s philosophy of care

The following preventive care services are covered at 100% when received from in-network providers, including

  • Routine preventive exams
  • Well-woman gynecological exams
  • Well-baby and child care exams
  • Adult immunizations
  • Child immunizations
  • Routine vision exams
  • Routine hearing exams

Preventive Services

Abdominal Aortic Aneurysm - One-time screening for men ages 65 and older who have ever smoked

Alcohol Misuse - Screening and counseling

Colorectal Cancer - Screening for adults over age 50, or for individuals under 50 with a family history of colon cancer

Cholesterol - Screening for adults of men over age 35, women over age 45, and other adults ages 20-35 at higher risk

Diabetes Type 2 - Screening for asymptomatic adults with sustained high blood pressure

Hepatitis B - Screening in adults at higher risk of infection

Hepatitis C - Screening in adults between the ages of 50 and 60, and those at higher risk of infection

HIV - Screening for all adults at higher risk

Lung Cancer - Annual Screening with low-dose computed tomography for adults ages 55-80 who have ever smoked

Preventive Office Visit - Such as an annual physical exam, which may include:

  • Aspirin use counseling for men and women of certain ages
  • Assessment and management to prevent falls in adults 65 and older
  • Blood Pressure screening
  • Depression screening
  • Diet counseling for adults at higher risk for chronic disease
  • Counseling for diet and exercise to prevent cardiovascular disease
  • Obesity screening and counseling
  • Counseling for minimizing risks of skin cancer in adults under age 24
  • Counseling for adults at higher risk of Sexually Transmitted Infection (STI)
  • Well woman visit to obtain women's preventive services

Syphilis - Screening for adults at higher risk 

Tobacco Use - Screening and interventions for all adults

Vaccines - Recommendations vary for doses, ages, and populations:

  • Hepatitis A
  • Measles, Mumps, Rubella
  • Hepatitis B
  • Meningococcal
  • Herpes Zoster
  • Pneumococcal
  • Human Papillomavirus
  • Tetanus, Diphtheria, Pertussis
  • Influenza
  • Varicella

Anemia Screening - On a routine basis during pregnancy

Bacteriuria - Urinary tract or other infection screening in pregnant women

BRCA - Screening and genetic test counseling for women at higher risk for certain cancers

Breast Cancer Mammography - Screenings every 1 to 2 years for women over 40

Breast Cancer Preventive Medication - Counseling about risk-reducing medication for women at higher risk

Breastfeeding - Interventions to support/promote breastfeeding, including the purchase of some breast pumps

Cervical Cancer - Screening once every rolling 3 years. (3 years + 1 day)

Chlamydia - Screening for sexually active women and/or women at higher risk of infection

Contraceptives - Approved by the FDA and requiring a prescription

Domestic violence - Screening and counseling

Folic Acid Supplements - For women who may become pregnant

Gestational Diabetes - Screening for pregnant women

Gonorrhea - Screening for all women at higher risk of infection

Hepatitis B - Screening at first prenatal visit

HIV - Testing for all pregnant women regardless of risk status

HPV - Testing one time every 5 years for women 30-65

Osteoporosis - Screening for women 65 and older or women under 65 that meet additional risk criteria

Pre-eclampsia prevention - Counseling on use of aspirin by pregnant women at higher risk

Rh Incompatibility - Screening and follow-up testing for women at higher risk

Rubella - Screening for susceptibility

Syphilis - Screening for all pregnant women regardless of risk status

Tobacco Use - Expanded counseling for pregnant women

Well Woman - Annual visit to obtain women’s preventive services

Alcohol and Drug Use - Assessments for adolescents

Autism - Screening for children between their 9 month to 30 month doctor visits

Behavioral - Assessments

Cervical Dysplasia - Screening for sexually-active females

Congenital Hypothyroidism - Screening for newborns

Dyslipidemia - Screening for children from ages 2-21 who are at higher risk of lipid disorders

Gonorrhea - Preventive medication for the eyes of all newborns

Hearing - Screening for all newborns

Hematocrit or Hemoglobin - Screening

Hemoglobinopathies - Or sickle cell screening for newborns

Hepatitis B - Screening for adolescents at higher risk for infection

HIV - Screening for adolescents at higher risk

Lead - Screening for children at risk of exposure

Newborn Blood Screening - Panel

Preventive Office Visit - Such as a well-child visit, which may include:

  • Blood Pressure screening
  • Depression screening for adolescents at higher risk
  • Developmental screening for children under age 3, and surveillance throughout childhood
  • Recommendation for fluoride chemoprevention supplements for children without fluoride in their water source
  • Height, Weight, and Body Mass Index measurements
  • Recommendation for iron supplements for children ages 6 to 12 months at risk for anemia
  • Medical History
  • Obesity screening and counseling
  • Oral Health risk assessment for young children
  • Recommendation for vision and hearing screening for children ages 3 to 5 years to detect amblyopia or its risk factors
  • Counseling on minimizing risks for skin cancer
  • Tobacco use intervention

Sexually Transmitted Infection (STI) - Prevention counseling and screening for adolescents at higher risk

Tuberculin - Testing for children at higher risk of tuberculosis

Vaccines - For children from birth to age 18—recommendations vary for doses, ages, and populations

  • Diphtheria, Tetanus, Pertussis
  • Influenza
  • Measles, Mumps, Rubella
  • Hepatitis A
  • Meningococcal
  • Hepatitis B
  • Pneumococcal
  • Human Papillomavirus
  • Rotavirus
  • Inactivated Poliovirus
  • Varicella
  • Haemophilus Influenzae Type b

Talk with your provider

When making your appointment, let your provider know this is your annual preventive exam, and clarify which screenings or services are considered preventive. You may be billed for other covered services you receive that are not listed as a preventive service by paying a deductible, copay, coinsurance, etc. Please reference your Summary of Benefits (under the “My Plan” tab) for your specific coverage information.

Questions?

Need to learn more about preventive services? Read our Q&A below!

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