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.