Page 5 - National Door_Benefit Guide 2025a
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Preventive Care Coverage:
Covered 100% on BCBS of Texas Medical
One of the most valuable benefits included with your benefit package is preventive care coverage which covers 100% of
eligible preventive services. Dr. Copays, Deductibles, Co-Ins. NO NOT apply! Like all other services, you must see In-Network
Providers. This means that you and your covered dependents have access to a variety of medical tests, screenings, annu-
al exams, and immunizations which may help reduce your risk of developing health conditions in the future and avoid ex-
pensive treatment down the road.
FOR CHILDREN
FOR ADULTS
Annual preventive medical history and physical exam Annual preventive medical history and physical exam
SCREENINGS FOR: SCREENINGS FOR:
Abdominal aortic aneurysm Autism
Alcohol abuse and tobacco use Cervical dysplasia
Cardiovascular disease (CVD) / cholesterol screening Critical congenital heart defect screening for newborns
Colorectal and lung cancer Depression
Depression Developmental delays
Falls prevention Dyslipidemia (for children at higher risk)
High blood pressure, obesity and diabetes Hearing loss, hypothyroidism, sickle cell disease/phenylketonuria
Sexually transmitted infections, HIV, HPV and hepatitis (PKU) in newborns
Tuberculosis Hematocrit or hemoglobin
COUNSELING FOR: Lead poisoning
Alcohol misuse Obesity
Domestic violence Sexually transmitted infections and HIV
Healthy diet and physical activity counseling for adults who Tuberculosis
are overweight or obese and have additional cardiovascu- Vision Screening
lar risk disease factors AND COUNSELING:
Obesity
Alcohol and drug use assessment for adolescents
Sexually transmitted infections
Obesity counseling
Skin cancer prevention
Oral health risk assessment, dental caries prevention
Tobacco use, including certain medicine to stop
fluoride varnish and oral fluoride supplements
Use of aspirin to prevent heart attacks
JUST FOR WOMEN
Aspirin for preeclampsia prevention
Breast cancer screening, genetic testing and counseling Diphtheria, Pertussis, Tetanus
Breastfeeding support, supplies and counseling Haemophilus Influenzae Type B (Hib)
Certain contraceptives / medical devices, morning after pill, Hepatitis A and B
and sterilization to prevent pregnancy Human Papillomavirus (HPV)
Cervical cancer screening Inactivated Poliovirus (Polio)
Chlamydia, gonorrhea, syphilis, HIV and hepatitis B screenings Influenza (Flu)
Counseling for alcohol and tobacco use during pregnancy Measles, Mumps, Rubella (MMR)
Diabetes melitus screening after pregnancy Meningitis / Pneumococcal / Rotavirus
Folic acid supplementation during pregnancy Varicella (Chicken Pox) / Zoster (Herpes, Shingles
Human papillomavirus (HPV) DNA test
Osteoporosis screening
Screenings during pregnancy, including screenings for ane-
mia, gestational diabetes, bacteriuria, Rh(D) compatibility
Urinary incontinence screening
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