Page 5 - National Door_Benefit Guide 2025a
P. 5

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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