Page 4 - ARCO Construction 2015 Benefits Guide
P. 4
Women’s Preventive Care Services
REMINDER: The following women’s preventive care services are covered at 100% In Network
Expanded Women’s Preventive
Women’s Preventive Care Services Under the UnitedHealthcare’s Coverages of Expanded
Care Services Before Mandate with No Cost-share Women’s Preventive Care Services for Plan
8/1/12 Effective for Plan Years Years Beginning On or After 8/1/12
Beginning On or After 8/1/12
Breast-feeding z Coverage for z Part of pre/postnatal z Covers rental and purchase of certain breast
counseling, rental counseling only counseling for pregnant pumps with no cost-share when obtained
equipment and women; coverage for through network providers
supplies rental of breast-feeding
equipment
Contraception z Not mandated as z All Food and Drug z All Food and Drug Administration-approved
methods and preventive Administration—approved contraceptive methods (as prescribed),
counseling contraceptive methods sterilization procedures, and patient
(as prescribed), sterilization education and counseling for all women with
procedures, and patient reproductive capacity (contraceptives in Tier
education and counseling 1 will be available
for all women with with no cost-share)
reproductive capacity
Domestic violence z Women at risk z All women z All women (currently included in our wellness
screening and examination codes)
counseling
Gestational z Pregnant women z All pregnant women (24-28 z Covers screening for all pregnant women,
diabetes screening at risk weeks); and those at high regardless of gestational week
risk during the irst prenatal
visit are screened
HIV screening and z Women at risk z All sexually active women z All sexually active women (no effect on
counseling (pregnant current coding)
women, lifestyle)
HPV DNA testing z Not mandated as a z All women 30 and older; z All women 30 and older
for women age 30 preventive service every
and older three years
Sexually z Women at risk z All sexually active women z All sexually active women (no effect on
transmitted (teens, pregnant current coding, but it will expand to include
infections women, lifestyle) all sexually active women)
counseling
Well-woman z Yearly z As many as necessary z New coverage for well-woman visits may
exams to obtain speciied require multiple preventive visits in the same
preventive services year to receive all recommended services,
including prenatal care
Prenatal services z Not mandated as z Routine prenatal visits and z Included: routine prenatal obstetrical ofice
preventive services explicitly identiied visits, gestational diabetes screening, all lab
in the Department of services explicitly identiied in the health
Health and Human reform law, tobacco cessation counseling
Services rules speciic to pregnant women, immunizations
recommended by the Advisory Committee
on Immunization Practices, counseling for
breast-feeding and rental equipment and
supplies, prenatal services not covered under
the women’s preventive beneit but may be
covered with a copayment, coinsurance or
deductible. These services include, but are
not limited to: radiology services not speciied
in the health reform law (i.e. obstetrical
ultrasounds), delivery services, and high-risk
prenatal services
ARCO/Murray/GMA 4
REMINDER: The following women’s preventive care services are covered at 100% In Network
Expanded Women’s Preventive
Women’s Preventive Care Services Under the UnitedHealthcare’s Coverages of Expanded
Care Services Before Mandate with No Cost-share Women’s Preventive Care Services for Plan
8/1/12 Effective for Plan Years Years Beginning On or After 8/1/12
Beginning On or After 8/1/12
Breast-feeding z Coverage for z Part of pre/postnatal z Covers rental and purchase of certain breast
counseling, rental counseling only counseling for pregnant pumps with no cost-share when obtained
equipment and women; coverage for through network providers
supplies rental of breast-feeding
equipment
Contraception z Not mandated as z All Food and Drug z All Food and Drug Administration-approved
methods and preventive Administration—approved contraceptive methods (as prescribed),
counseling contraceptive methods sterilization procedures, and patient
(as prescribed), sterilization education and counseling for all women with
procedures, and patient reproductive capacity (contraceptives in Tier
education and counseling 1 will be available
for all women with with no cost-share)
reproductive capacity
Domestic violence z Women at risk z All women z All women (currently included in our wellness
screening and examination codes)
counseling
Gestational z Pregnant women z All pregnant women (24-28 z Covers screening for all pregnant women,
diabetes screening at risk weeks); and those at high regardless of gestational week
risk during the irst prenatal
visit are screened
HIV screening and z Women at risk z All sexually active women z All sexually active women (no effect on
counseling (pregnant current coding)
women, lifestyle)
HPV DNA testing z Not mandated as a z All women 30 and older; z All women 30 and older
for women age 30 preventive service every
and older three years
Sexually z Women at risk z All sexually active women z All sexually active women (no effect on
transmitted (teens, pregnant current coding, but it will expand to include
infections women, lifestyle) all sexually active women)
counseling
Well-woman z Yearly z As many as necessary z New coverage for well-woman visits may
exams to obtain speciied require multiple preventive visits in the same
preventive services year to receive all recommended services,
including prenatal care
Prenatal services z Not mandated as z Routine prenatal visits and z Included: routine prenatal obstetrical ofice
preventive services explicitly identiied visits, gestational diabetes screening, all lab
in the Department of services explicitly identiied in the health
Health and Human reform law, tobacco cessation counseling
Services rules speciic to pregnant women, immunizations
recommended by the Advisory Committee
on Immunization Practices, counseling for
breast-feeding and rental equipment and
supplies, prenatal services not covered under
the women’s preventive beneit but may be
covered with a copayment, coinsurance or
deductible. These services include, but are
not limited to: radiology services not speciied
in the health reform law (i.e. obstetrical
ultrasounds), delivery services, and high-risk
prenatal services
ARCO/Murray/GMA 4
