Page 5 - Levelland Benefit Guide 4-1-24
        P. 5
     Preventive Care Coverage:
          UHC and Pan American
         One of the most valuable benefits included with your benefit package is preventive care coverage which covers 100% of
         eligible preventive services. NO Dr. copays or deductibles 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, annual exams,
         and  immunizations which may help reduce your risk of developing health conditions in the future and avoid expensive
          FOR ADULTS                                           FOR CHILDREN
          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) including cholesterol screening    Critical congenital heart defect screening for newborns
           and statin use for the prevention of CVD
           Colorectal and lung cancer                          Depression
                                                                Developmental delays
           Depression
                                                                Dyslipidemia (for children at higher risk)
           Falls prevention
                                                                Hearing loss, hypothyroidism, sickle cell disease and
           High blood pressure, obesity and diabetes
                                                                phenylketonuria (PKU) in newborns
           Sexually transmitted infections, HIV, HPV and hepatitis
                                                                Hematocrit or hemoglobin
           Tuberculosis                                        Lead poisoning
          COUNSELING FOR:                                       Obesity
                                                                Sexually transmitted infections and HIV
           Alcohol misuse
                                                                Tuberculosis
           Domestic violence
           Healthy diet and physical activity counseling for adults who    Vision Screening
           are overweight or obese and have additional cardiovascular
           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             Skin cancer prevention counseling
          JUST FOR WOMEN
           Aspirin for preeclampsia prevention
           Breast cancer screening, genetic testing and counseling
           Breastfeeding support, supplies and counseling     Diphtheria, Pertussis, Tetanus
           Certain contraceptives and medical devices, morning after   Haemophilus Influenzae Type B (Hib)
            pill, and sterilization to prevent pregnancy
                                                               Hepatitis A and B
           Cervical cancer screening
                                                               Human Papillomavirus (HPV)
           Chlamydia, gonorrhea, syphilis, HIV and hepatitis B screenings
                                                               Inactivated Poliovirus (Polio)
           Counseling for alcohol and tobacco use during pregnancy
                                                               Influenza (Flu)
           Diabetes melitus screening after pregnancy
                                                               Measles, Mumps, Rubella (MMR)
           Folic acid supplementation during pregnancy
                                                               Meningitis
           Human papillomavirus (HPV) DNA test
                                                               Pneumococcal
           Osteoporosis screening
                                                               Rotavirus
           Screenings during pregnancy, including screenings for anemia,   Varicella (Chicken Pox)
            gestational diabetes, bacteriuria, Rh(D) compatibility
                                                               Zoster (Herpes, Shingles
                                                              5
                Note: For information on what the plans cover, please see the benefit summaries for more details.





