Expanded Benefits for Preventive Services
Posted 10/06/11; Modified 04/20/12

Effective January 1, 2012, HealthChoice expanded its benefits for preventive services. This means certain preventive procedures are covered at 100% of Allowed Charges for members who meet certain criteria including age, sex, policy limits, and diagnosis and procedure codes. When using a HealthChoice Network Provider*, members have no copays or other out-of-pocket costs. Following is a summary of the services that are free to eligible members:

• Blood pressure, diabetes, and cholesterol tests
• Breast, cervical, prostate, and colorectal cancer screenings
• Osteoporosis screening
• Counseling from health care providers on topics including quitting tobacco, losing weight, eating healthy, treating depression, and reducing alcohol use
• Prescription tobacco cessation products
• Vaccines for children and adults
• Flu and pneumonia shots
• Screening for obesity and counseling by a doctor and other health professionals to promote sustained weight loss, including dietary counseling from a doctor
• Screening for conditions that can harm pregnant women or their babies, including iron deficiency, hepatitis B, a pregnancy related immune condition called Rh incompatibility, and a bacterial infection called bacteriuria
• Special, pregnancy-tailored counseling from a doctor to help pregnant women quit smoking and avoid alcohol use
• Counseling to support breast-feeding and help nursing mothers

*When using a non-Network provider, these services will be covered according to Plan benefits.