Preventive Visits & Annual Physicals - KAISER
The medical plans pay 100% for in-network preventive services for adults and children when the main purpose of the visit is for preventive care. Covered services are determined based on your age, gender, and risk status. There is no copay, deductible or coinsurance for in-network preventive services such as office visits, screenings, counseling, and appropriate immunizations. Covered services also include FDA-approved contraception methods and contraceptive counseling for women (cost-sharing may apply to brand name drugs if a generic version is available).
MAXIMIZE YOUR PREVENTIVE BENEFITS
- Preventive care includes exams and screenings. Services are based on age, gender, and family history
- Make sure your screenings and tests are sent to an in-network lab. Because the Kaiser program is an HMO model, if you visit an in-network provider, you will always be referred to an in-network lab.
- Make sure your claim is paid correctly. Remind your doctor’s office that you are making an appointment for preventive care, and NOT for treatment of an illness, injury or medical condition.
- If you receive care to treat a health condition, or have a follow-up appointment to review your screening results, your claim will NOT be considered "preventive," and it will NOT be paid at 100%.
For a list of preventive services covered under the plan, visit the Kaiser Preventive Care Overview link below.
Preventive Visits & Annual Physicals - UHC
The medical plans pay 100% for in-network preventive services for adults and children when the main purpose of the visit is for preventive care. Covered services are determined based on your age, gender, and risk status. There is no copay, deductible or coinsurance for in-network preventive services such as office visits, screenings, counseling, and appropriate immunizations. Covered services also include FDA-approved contraception methods and contraceptive counseling for women (cost-sharing may apply to brand name drugs if a generic version is available).
MAXIMIZE YOUR PREVENTIVE BENEFITS
- Preventive care includes exams and screenings. Services are based on age, gender, and family history
- Make sure your screenings and tests are sent to an in-network lab. It's your responsibility to make sure the lab is in the network before you have your tests done or sent for processing. If the lab is NOT in the network, even if recommended by your network physician, your claim will be paid at the lower out-of-network benefit level, or not at all if you are in the EPO Plan. Take the time to ask the doctor’s office in advance.
- The list of participating labs in the UHC network includes, but is not limited to:
- Aegis Sciences Corporation
- AmeriPath Inc.
- BioReference Laboratories, Inc.
- Clinical Pathology Laboratories, Inc.
- Invitae Corporation
- Laboratory Corporation of America (LabCorp)
- Mayo Clinic Laboratories (Laboratory services billed by Mayo Clinic and Mayo Health System are not included under the Mayo Clinic Laboratories agreement)
- Millennium Health, LLC
- Myriad Genetic Laboratories, Inc.
- Natera, Inc.
- Neogenomics Laboratories, Inc.
- Quest Diagnostics, Inc.
- Make sure your claim is paid correctly. Remind your doctor’s office that you are making an appointment for preventive care, and NOT for treatment of an illness, injury or medical condition.
- If you receive care to treat a health condition, or have a follow-up appointment to review your screening results, your claim will NOT be considered "preventive," and it will NOT be paid at 100%.
For a list of preventive services covered under the plan, visit the UHC Preventive Care Overview link below.
InsurChoice - NFP's Digital Marketplace
InsurChoice offers you the ability to personalize your protection program — bringing you quick, convenient, holistic coverage with incredible cost-saving discounts across a variety of top-rated insurance products and carriers. Our program is simple, fast, and always online. Find coverage in the blink of an eye!
Key benefits include:
- Competitive pricing: One size doesn’t fit all, so you can match yourself with the best rates and coverages from multiple insurance companies.
- Custom-tailored coverage: Select the products that meet YOUR needs.
- Stability: We have relationships with key national carriers who have a proven track record of rate and coverage stability.
- Innovation: With our innovative product delivery platform we are constantly striving to add more benefits and improve your experience
NFP Concierge
All employees participating in our Medical plan have access to NFP's Claims Advocacy & Benefits Concierge. These are valuable resources provided to us by our benefits consulting firm, NFP. They provide a one-stop contact center for answering your medical plan questions and resolving medical claim issues.
The Benefits Concierge can help with medical:
- Benefits questions
- ID card issues
- Prescription issues
- Provider network questions
- And much more!
Contact your Claims Advocate (claims related inquiries)
Email: CSclaims@nfp.com
Contact your Benefits Concierge (benefits related inquiries) Monday through Friday from 9 am to 6 pm (EST)
Phone: 877-835-1361
Email: DBbenadmin@nfp.com
Contact Us
Contact Human Resources
Contact your Human Resource Department Monday through Friday from 8 am to 5 pm (EST)
Contact your Claims Advocate (claims related inquiries)
Email: CSclaims@nfp.com
Contact your Benefits Concierge (benefits related inquiries) Monday through Friday from 9 am to 6 pm (EST)
Phone: 877-835-1361
Email: DBbenadmin@nfp.com