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The purpose of a preventive visit is to review your overall health, identify risks and find out how to stay healthy. The cost of preventive visits may be covered by your plan at no cost to you.* During your preventive care visit, your doctor may review your health risks and talk with you about:
The purpose of an office visit is to discuss or get treated for a specific health concern or condition. Depending on your health plan, you may pay for these services received during an office visit:
The doctor determines if the services you receive are billed as preventive or medical. Claims are paid based on what the doctor’s office submits to your health plan.
If your doctor discusses a health problem during your preventive office visit, he or she may bill part of the visit as preventive and part as a medical office visit. Depending on your specific health plan, preventive services may be covered without a copay or deductible. For medical services, copays and deductibles may apply.
If you want to know about costs, ask your doctor for an estimate of fees before your scheduled appointment visit. You can also call the number on your member ID card.
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