Here are some quick tips to help you and your provider determine when services may not be part of the preventive benefit: This means that you may have to pay some of the cost of an otherwise qualified service (such as a copay, coinsurance, or deductible) based on your personal medical situation. Generally speaking, a service usually does not qualify as zero-cost preventive care if a medical problem is known, suspected, or found during the course of care. The medical information provided on your claim.This guide outlines coverage for services such as vaccines, contraceptives, and screenings. The specific preventive services that are available to you at zero cost will vary throughout your lifetime based on your age. The recommended guidelines for preventive care services are appropriate for your age.Many services that are considered preventive in terms of your personal health do not meet the guidelines for zero-cost preventive care. There are two factors that determine whether a preventive care service is available to you at no cost: Some preventive care services help identify a health issue before it becomes very serious-like your cholesterol test, while other preventive care services help prevent a health issue before it happens-like your annual flu shot. Preventive care refers to health care services meant to help you avoid serious medical problems through routine care and screening.
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