Beginning Jan. 1, 2027, advance care planning will no longer be covered as a preventive service for commercial plans (group and individual).
Why is Priority Health making this change?
Removing advance care planning from our preventive services aligns us with industry standard.
Is advance care planning still a covered service?
Yes, it will be covered with normal member cost share according to the terms of their plan.
What CPT codes does this include?
This includes CPT codes 99497 and 99498.