Preventive Health Care Guidelines
What is "preventive" health care?
- Preventive services include screenings, immunizations and physical examinations that help prevent illness BEFORE you have any symptoms. Preventive health care may also include other services and screenings not included in these guidelines when your doctor finds them necessary.
- Diagnostic services are used to help your doctor understand your symptoms or "diagnose" your illness and decide what treatment you need. They may be the same tests that are listed as preventive services, but the tests are being used as diagnostic services. Payment for these services must come out of your deductible until you have paid your deductible.
- Common examples: See examples of when a service is considered preventive or diagnostic.
What preventive care do you need?
These guidelines show you what vaccinations, immunizations, tests and screenings are a good idea for men, women and children to have.
Print a brochure
View the 2013 version, which includes helpful checklists.
What will you pay for these services?
When you have one of the services listed in our Preventive Health Care Guidelines for preventive purposes by an in-network provider, we’ll pay 100% for most plans1. Your deductible, copayment and coinsurance may apply if you receive the services in this guide for diagnostic reasons (to monitor, diagnose or treat health problems), or if you have preventive services that aren’t listed in our guide.