Page 5 - Enrollment Guide
P. 5
American Food & Vending
Reliance Standard MEC Plans
What is a Preventive Service? How Do I Know If A Service Is Preventive Or
A preventive service might be a test, or Diagnostic?
it might be advice from your doctor. Preventive care is deined as routine checkups undertaken
Preventive services can detect disease without any indication you are sick. For example, if you are
or help prevent illness or other health scheduled for your annual physical and you indicate to the doctor
problems. Below are a few of the common you’ve been experiencing an earache, the checkup would turn
preventive health services the plan covers. into a diagnostic appointment. What this means for you is the
appointment is no longer covered at 100% and may be subject
Covered Services for Children and to a deductible or copayment. To be sure an appointment is
Adolescents
X Well child exams—physical exams and preventive, you would need to come to the doctor’s ofice not
vision acuity experiencing any symptoms and no reason to think you were
X Assessments—developmental and unhealthy.
behavioral How to Access Your Preventive Services
X Immunizations—diphtheria, tetanus, Present your Reliance Standard ID Card to the doctor or facility
and pertussis which provides your services. The provider will send a bill to
X Screenings—hearing loss, lead Reliance Standard for payment. If you only received care for a
poisoning, and depression covered preventive service, you will not be charged for your visit.
Covered Services for Adults If you received a non-covered service, you will receive a bill in
X Annual preventive care visits—physicals the mail from your provider.
and history
X Immunizations—hepatitis and inluenza
X General health screenings—blood
pressure, cholesterol, and diabetes
X Prescription contraceptives for women
Z Generic contraceptives—no copay
Z Brand name contraceptives—
$50 copay
For a list of all preventive care services that
are covered by the plans, please refer to the
plan document.
5
Reliance Standard MEC Plans
What is a Preventive Service? How Do I Know If A Service Is Preventive Or
A preventive service might be a test, or Diagnostic?
it might be advice from your doctor. Preventive care is deined as routine checkups undertaken
Preventive services can detect disease without any indication you are sick. For example, if you are
or help prevent illness or other health scheduled for your annual physical and you indicate to the doctor
problems. Below are a few of the common you’ve been experiencing an earache, the checkup would turn
preventive health services the plan covers. into a diagnostic appointment. What this means for you is the
appointment is no longer covered at 100% and may be subject
Covered Services for Children and to a deductible or copayment. To be sure an appointment is
Adolescents
X Well child exams—physical exams and preventive, you would need to come to the doctor’s ofice not
vision acuity experiencing any symptoms and no reason to think you were
X Assessments—developmental and unhealthy.
behavioral How to Access Your Preventive Services
X Immunizations—diphtheria, tetanus, Present your Reliance Standard ID Card to the doctor or facility
and pertussis which provides your services. The provider will send a bill to
X Screenings—hearing loss, lead Reliance Standard for payment. If you only received care for a
poisoning, and depression covered preventive service, you will not be charged for your visit.
Covered Services for Adults If you received a non-covered service, you will receive a bill in
X Annual preventive care visits—physicals the mail from your provider.
and history
X Immunizations—hepatitis and inluenza
X General health screenings—blood
pressure, cholesterol, and diabetes
X Prescription contraceptives for women
Z Generic contraceptives—no copay
Z Brand name contraceptives—
$50 copay
For a list of all preventive care services that
are covered by the plans, please refer to the
plan document.
5
