Preventive care

Together, we can care for your health at any age.

Preventive care is meant to help you stay as healthy as possible. Annual preventive visits, tests and screenings allow your primary care provider (PCP) to find, treat or prevent medical problems or diseases before they become major health concerns.

Talk with your PCP about which preventive care services you need and when you need them. Your PCP will consider things like family history, age, sex and current health status. Your PCP can also help coordinate any lab tests, screenings and vaccines you are due for.

See a list of covered preventive services from

Preventive benefits versus non-preventive services

Ask your clinic to verify your provider is in-network. With an in-network provider, preventive benefits are covered at $0. Non-preventive services may have some out-of-pocket costs (copays, deductibles, cost-sharing). Annual visits with your PCP, vaccinations (like the flu shot) and certain routine tests and screenings are examples of preventive care.

Note that not all screening tests are covered at no cost to you—it is only those that doctors and scientists have determined to be of the greatest value in keeping you healthy. Examples of tests that will lead to some cost-sharing are screening metabolic panels or a screening EKG.

If your plan uses a provider network, review your summary of benefits and coverage for network provider details.

Your insurance may cover more services than are recommended.

Talk to your doctor about which services you should receive.

Covered preventive services listed are for the 2023 benefit year and may change after 2023. Some labs, when provided as part of a preventive visit, are covered at 100%. To understand what labs are covered, see plan for details or call Member Services at 1-866-514-4194.

Did you know?

Some health care terms are used the same way when they may, in fact, mean something different. For example:

Vaccination vs. Immunization

  • Vaccination: Introducing a vaccine into the body, usually with a shot, to help give immunity to a specific disease. Immunization: When a person becomes protected against a disease through vaccination.

Some health care terms mean the exact same thing. For example:

Flu shot and Influenza vaccine

  • A flu shot is a influenzavaccine that protects against infection by influenza (or flu) viruses.

See flu vaccination page

Member benefits

As your children grow, it’s important to keep them protected from serious diseases. Check with your doctor to ensure your child receives their childhood vaccines – including their flu vaccine – on time.

You and your children can receive these essential immunizations from your provider at your annual preventive care visit.

Health plan members, ages six and older, can also get vaccines at the pharmacy. Find a pharmacy near you.

Please note

If you receive preventive care marketing materials from sources other than your Health Plan, PCP or primary clinic, ask your PCP if you are due for the stated service or screening and how it’s covered by your health insurance.

To see your specific preventive care coverage details, review your member certificate and summary of benefits.
You can also call Member Services at the number listed on the back of your membership card to ask questions about your coverage.

Q&A: Preventive care