Page 5 - National Door_Benefit Guide 2024

Preventive Care Coverage:

(Included with Both Plans)

One of the most valuable benefits included with your benefit package is preventive care coverage which
covers 100% of eligible preventive services after your Physician Copay when performed in-network. Deductible
and coinsurance applies for out-of-network providers. That means that you only pay your office copay to
access 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 treatment down the road.
Understanding Preventive Care:

Preventive care is the first step in knowing how healthy you are. The goal is to “prevent” a serious health
condition by detecting problems early on. Preventive care includes screenings, tests, medicines and
counseling performed or prescribed by your doctor or other health care providers to test for conditions which
may develop even when you don’t have signs or symptoms of an injury or illness. Your provider is able to
deliver treatment which can prevent you from getting sick and by counseling you on beneficial lifestyles
changes or offspring prophylactic treatment.

Why is Preventive Care Important:

• Detection of health conditions early when they are more easily treatable

• Identification of potential risks to your future health

Examples of Covered Preventive Services for Adults and Children:

• Immunizations and flu shots (age 7 and over)
• Wellness exams including lab/x-rays

• Well-woman visits including pap smears, gynecological exams, and mammograms
• Well child care including developmental assessments and Human Papillomavirus (HPV) vaccines

• Bone mass measurement testing
• Hearing exams

• Annual prostate screenings

• Routine colonoscopy (limited to first $3,000, then coinsurance applies), covered every 10 years and age
requirements apply

Note: For information on what the plans cover, please see the benefit summaries for more details.
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