New guidelines with Healthcare Reform now provide some preventive services to be paid by your carrier at 100%. We have posted the general list from the healthcare.gov website below. With any health insurance carrier, services are only processed as preventive if coded as such by your doctor.
Preventive care is usually precautionary. An example would be if your doctor orders a colonoscopy because of your age and codes the claim as preventive, this would process under the preventive benefit. But, if your doctor recommends a colonoscopy to investigate symptoms, and codes the claim as diagnostic, this would not be considered preventive.
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