Preventive Screenings Can Save Your Life

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Which screenings do you need?

Many serious illnesses have no signs in the early stages. It’s important to talk to your doctor about screenings even if you feel fine. Age, health, and family history determine which screenings you need. Check with your doctor to see which screenings are right for you.

2023 & 2024 preventive health chart

The quick-reference chart below lists screenings your plan covers in 2023 and 2024. It is not a recommendation for how often to have a screening. Please talk to your doctor about what screenings are right for you. For more complete benefit information, see your Evidence of Coverage (EOC) booklet.

Annual Physical

 ExplanationsYour coverageCopay (HMO)Copay (PPO In Network)Copay (PPO Out of Network)
Physical ExamA checkup given by your doctor to help you stay healthy and identify any health issues before they become serious.Once every calendar year.$01$0140% coinsurance
Annual Wellness VisitA checkup given by your doctor to review your health status, lifestyle, daily activities, nutrition, and any stress you may have.Once every calendar year.$01$0140% coinsurance

Cancer Screenings

 ExplanationsYour coverageCopay (HMO)Copay (PPO In Network)Copay (PPO Out of Network)
Breast CancerA breast exam and mammogram (type of X-ray) to check for signs of breast cancer.One mammogram every 12 months—clinical breast exam once every 24 months.$0$040% coinsurance
Cervical CancerPap test and pelvic exam to check for cervical, vaginal, and ovarian cancers.Once every 24 months, or every 12 months if at high risk.$0$040% coinsurance
Colorectal CancerTests to find colorectal cancer early and determine, based on risk, what treatment may work best.Colonoscopy screening once every 24 months if at high risk—once every 10 years if not at high risk.$0$040% coinsurance
Prostate CancerProstate screening by digital rectal exam and prostate specific antigen (PSA) test.Once every 12 months.$0$040% coinsurance

Immunizations

 ExplanationsYour coverageCopay (HMO)Copay (PPO In Network)Copay (PPO Out of Network)
Flu ShotA shot to help prevent the flu (you need a flu shot for the current virus each year).Once per flu season (fall or winter).$0$0$0
PneumoniaA shot to prevent pneumonia.As medically necessary.$0$0$0
Hepatitis BA shot to prevent Hepatitis B.As medically necessary.$0$0$0
COVID-19A shot to prevent COVID-19.As medically necessary.$0$0$0

Sensory Screenings

 ExplanationsYour coverageCopay (HMO)Copay (PPO In Network)Copay (PPO Out of Network)
Routine Hearing ExamTest to determine hearing ability.Once a year.$0$0

2023: $65 per visit


2024: $45 per visit

Routine Vision ExamTest to determine sight.Once a year.$15$0

2023: $65 per visit


2024: $45 per visit

GlaucomaTest to find glaucoma, a condition that causes gradual loss of sight without warning and often without symptoms.Once every calendar year if you are at high risk for glaucoma.$0$0

2023: $65 per visit


2024: $45 per visit

Other Screenings

 ExplanationsYour coverageCopay (HMO)Copay (PPO In Network)Copay (PPO Out of Network)
Cardiovascular Disease TestingBlood tests for the detection of cardiovascular disease.Once every 5 years.$0$040% coinsurance
DiabetesBlood tests to see if you are at risk for diabetes.Based on test results, up to 2 screenings every 12 months.$0$040% coinsurance
OsteoporosisBone mass measurement tests (such as a DEXA scan) to see if you are at risk for broken bones.If at risk, once every 24 months or more often if medically necessary.$0$040% coinsurance
DepressionTest to determine risk of depression.Once every calendar year.$0$040% coinsurance
Abdominal Aortic AneurysmsUltrasound exam.Once per lifetime if at risk.$0$040% coinsurance
STIsTest to check for sexually transmitted infections (STIs).Once every 12 months, or more often if medically necessary.$0$040% coinsurance
HIVTest to check for HIV.Once every 12 months.$0$040% coinsurance

Benefit information may be different if you receive your benefits from a current or former employer.


1A copay may apply if you receive services that address a medical condition during an annual physical or Annual Wellness Visit.