Postpartum costs that may be covered by your insurance plan include: Breast milk storage bags. During this time, both the person who gave birth and the baby will need extra care. Check your plan documents and consult with your health care provider prior to having the service performed if you have questions. It lasts until your body has recovered from the birth, which can be 6 weeks or longer. When a service is performed for preventive screening reasons and is appropriately reported, it will be covered under the Preventive Care Services benefit. But routine well-child visits are also a critical part of health and wellness for children up to age 21. The woman would be responsible for any deductible, coinsurance, or copayment that may be applicable based on her benefit plan. Or when they need a physical exam for sports. However, other blood chemistry panels like an anemia screening in a non-pregnant woman, a kidney or liver function test and urinalysis, would not be covered as preventive care. To help ensure your child stays safe and healthy, be sure to follow the AAP’s schedule for routine well-child visits. If the physician orders lab work during a preventive care visit some of the tests may be covered as preventive care, such as a cholesterol screening. If your child is covered by Independence, such as through the Keystone HMO CHIP plan, look for important information in the mail and by phone about getting your child tested for lead. Preventive care exampleĪ woman has an annual wellness exam and receives blood tests to screen for anemia, kidney and liver function, and has a urine analysis done. covered with no copayment when received from an Empire Plan participating provider.1 Children Yearly preventive care (well-child) visits that include height, weight and body mass index measurements, developmental screenings, behavioral assessments and medical history are covered, as well as the screenings, tests, counseling and vaccines2 listed. Services include physical exam and measurements, vision and hearing screening, and oral health risk assessments. Also called well-care visits or checkups, these routine examinations provide the best opportunity for the doctor to observe the progress of your childs. This is important, because a service has to be considered preventive in order to be exempt from copays, coinsurance or deductibles. Routine doctor visits for comprehensive preventive health services that occur when a baby is young and annual visits until a child reaches age 21. A procedure can be considered preventive care in some situations, but not in others.
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