Is Preventive Care Subject to the Deductible?
Preventive care services are not subject to the deductible. Only the services that are intended to diagnose or treat an existing illness, injury, or a condition that has already been diagnosed or for which you have symptoms are subject to the deductible. Any non-preventative services you receive during a preventative care exam will be subject to the deductible.
The following are included and are exempt from the deductible:
o Flexible sigmoidoscopies
o Health education
o Vaccines
o Mammograms
o Routine preventive retinal photography screenings
o Routine preventive physical exams, including well-woman visits and eye refraction and hearing exam
o Tuberculosis tests
The following laboratory tests are also included and not subject to the deductible:
o Cervical cancer screening including screening for human papillomavirus (HPV)
o Cholesterol tests (lipid panel and profile)
o Diabetes screening (fasting blood glucose tests)
o Fecal occult blood tests
o HIV tests
o Prostate specific antigen tests
o STD tests
In an OBGYN visit, the following are included:
o Pelvic Exam
o Pap Smear
o Mammogram (depending on what the doctor advises)
Posted: November 9th, 2009 under California.
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