Preventive Care Coverage

Did you know prevention is one of the best ways to stay in good health? Take advantage of the wide variety of health and wellness resources offered to most members.1

Live a Healthier Life

Make the most of your benefits and find the services and support you need to live a healthier life.

Free Wellness Exams & Preventive Services

A yearly wellness visit with your primary care provider or family doctor is vital for long-term wellness. And with most of our health plans, yearly wellness exams and immunizations are covered 100% for providers in our network. Here’s how to make sure you get free wellness exams and preventive care.

  1. Make sure you visit an in-network provider.
  2. Learn about coverage for specific preventive services:
  3. Make sure your yearly wellness visit is covered 100%. Your provider must use these preventive medicine visit codes (pdf). In addition, some of our plans include two additional free visits with your primary care provider each year.

Want to know what services and providers your plan covers? Log into the member portal to view your Summary of Benefits and Coverage.

When It's Not Covered

Yearly wellness exams and preventive services are not covered in the following circumstances:

  • When you go to an out-of-network provider: You'll pay the full billed amount and the cost will go toward your out-of-network balances.
    • To receive health services at the lowest cost to you, always choose an in-network provider. Log into the member portal to search for providers in your network.
  • When you ask your provider to solve an ongoing health problem: If you refer to a pain or sickness, the visit becomes diagnostic and might not be covered 100% as a "preventive yearly wellness visit."
    • This includes health-related questions such as, "Oh, by the way, could you help me with..." When the visit leads to more testing or medications, it may not be fully covered.

You are your best advocate. Your provider decides how to code visits, so don't be afraid to ask if discussing a certain issue will affect how you’ll be billed for the visit.

Free Online Health and Wellness Portal

From lifestyle behavior to preventing or managing chronic conditions, our well-being services help you reach health goals. Make lasting changes and live a healthier, more productive life.

Well-being services are value-added benefits for select members who have an individual or family plan or belong with a participating employer group. (If needed, ask your employer for your member portal to get started.)

As part of these services, we offer the free LiveNOW program, an online wellness portal with:

  • Helpful tips and tools developed by health experts
  • Health news feed and blogs
  • Personalized health plans

Access LiveNOW

Need Something Else?

See all of our member resources online.

Member Resources Member Portal

Or contact our Customer Service team.

1 Does not include Medicare Supplement Insurance members.

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