Page 7 - 2016 Enrollment
P. 7
American Food & Vending
Reliance Standard MEC Plans
What is a Preventive Service? How to Access Your Preventive
A preventive service might be a test, or it might be advice from your Services
doctor. Preventive services can detect disease or help prevent illness Present your Reliance Standard ID
or other health problems. Below are a few of the common preventive Card to the doctor or facility which
health services the plan covers. provides your services. The provider
will send a bill to Reliance Standard for
Covered Services for Children and Adolescents payment. If you only received care for
Well child exams—physical exams and vision acuity a covered preventive service, you will
Assessments—developmental and behavioral not be charged for your visit. If you
Immunizations—diphtheria, tetanus, and pertussis received a non-covered service, you
Screenings—hearing loss, lead poisoning, and depression will receive a bill in the mail from your
provider.
Covered Services for Adults
Annual preventive care visits—physicals and history
Immunizations—hepatitis and inluenza
General health screenings—blood pressure, cholesterol, and
diabetes
Prescription contraceptives for women
Generic contraceptives—no copay
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.
How Do I Know If A Service Is Preventive Or
Diagnostic?
Preventive care is deined as routine checkups undertaken without
any indication you are sick. For example, if you are scheduled for
your annual physical and you indicate to the doctor you’ve been
experiencing an earache, the checkup would turn into a diagnostic
appointment. What this means for you is the appointment is no
longer covered at 100 percent and may be subject to a deductible or
copayment. To be sure an appointment is preventive, you would need
to come to the doctor’s ofice not experiencing any symptoms and no
reason to think you were unhealthy.
7
Reliance Standard MEC Plans
What is a Preventive Service? How to Access Your Preventive
A preventive service might be a test, or it might be advice from your Services
doctor. Preventive services can detect disease or help prevent illness Present your Reliance Standard ID
or other health problems. Below are a few of the common preventive Card to the doctor or facility which
health services the plan covers. provides your services. The provider
will send a bill to Reliance Standard for
Covered Services for Children and Adolescents payment. If you only received care for
Well child exams—physical exams and vision acuity a covered preventive service, you will
Assessments—developmental and behavioral not be charged for your visit. If you
Immunizations—diphtheria, tetanus, and pertussis received a non-covered service, you
Screenings—hearing loss, lead poisoning, and depression will receive a bill in the mail from your
provider.
Covered Services for Adults
Annual preventive care visits—physicals and history
Immunizations—hepatitis and inluenza
General health screenings—blood pressure, cholesterol, and
diabetes
Prescription contraceptives for women
Generic contraceptives—no copay
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.
How Do I Know If A Service Is Preventive Or
Diagnostic?
Preventive care is deined as routine checkups undertaken without
any indication you are sick. For example, if you are scheduled for
your annual physical and you indicate to the doctor you’ve been
experiencing an earache, the checkup would turn into a diagnostic
appointment. What this means for you is the appointment is no
longer covered at 100 percent and may be subject to a deductible or
copayment. To be sure an appointment is preventive, you would need
to come to the doctor’s ofice not experiencing any symptoms and no
reason to think you were unhealthy.
7
