What Benefits Are Covered?
Most plans DO COVER | Most plans DO NOT COVER |
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Most doctor visits and hospital stays Emergency services Prescription drugs Lab services Preventive and wellness care Chronic disease management Mental and substance use disorder services, including behavioral health treatment Rehabilitative and habilitative services, including some medical devices Pregnancy, maternity and newborn care |
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All plans also offer preventive services at no charge. You won’t pay a copay or coinsurance for these services and you don’t need to meet your deductible before you use these services. Preventive services include:
- Adult physicals and blood pressure and cholesterol screenings
- Well-child care visits and immunizations
- OB/GYN visits
- X-rays and diagnostic tests
- Routine prenatal maternity visits
- Mammograms
- Prostate and colorectal screenings