Preventive Services. All necessary procedures to prevent the occurrence of oral disease, including: Cleaning and scaling Topical application of fluoride Space maintainers
Preventive Services a) Routine outpatient obstetrical care of an uncomplicated pregnancy, including prenatal evaluation and management office visits and one post- partum office visit;
Preventive Services. In addition to the benefits listed in this provision, CareFirst BlueChoice will provide benefits for health exams and other services for the prevention and detection of disease, at intervals appropriate to the Member’s age, sex, and health status, in accordance with the Patient Protection and Affordable Care Act, as amended, and the Health Care and Education Reconciliation Act of 2010, as amended, as well as CareFirst BlueChoice preventive guidelines. At a minimum, benefits for preventive services listed in this provision will be provided once per Benefit Period. Benefits will be provided for evidence-based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Services Task Force (USPSTF). This includes benefits for preventive maternity care. CareFirst BlueChoice will update new recommendations to the preventive benefits listed in this provision at the schedule established by the Secretary of Health and Human Services. Benefits for preventive care include the following:
Preventive Services. Prophylaxis - teeth cleaning three (3) times in a fiscal year, four (4) times when medically necessary; Topical application of fluoride for children up to age 19, twice in a fiscal year; Space maintainers for children up to age 14. Oral exfoliate cytology (brush biopsy) will be covered when warranted from a visual and tactile examination.
Preventive Services. Services provided by a physician or other licensed health practitioner within the scope of his or her practice under State law to: prevent disease, disability, and other health Conditions or their progression; treat potential secondary Conditions before they happen or at an early remediable stage; prolong life; and promote physical and mental health and efficiency.
Preventive Services. In addition to the benefits listed in this provision, CareFirst will provide benefits for health exams and other services for the prevention and detection of disease, at intervals appropriate to the Member’s age, sex, and health status, in accordance with the Patient Protection and Affordable Care Act, as amended, and the Health Care and Education Reconciliation Act of 2010, as amended, as well as CareFirst preventive guidelines. At a minimum, benefits for preventive services listed in this provision will be provided once per Benefit Period. Benefits will be provided for evidence-based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Services Task Force (USPSTF). This includes benefits for preventive maternity care. CareFirst will update new recommendations to the preventive benefits listed in this provision at the schedule established by the Secretary of Health and Human Services. Benefits for preventive care include the following:
Preventive Services. TennCare cost sharing or patient liability responsibilities shall apply to covered services other than the preventive services described in TennCare rules and regulations.
Preventive Services. Benefits are provided for the following Covered Services in the amounts specified in SECTION SB - SCHEDULE OF BENEFITS of this Agreement, in accordance with a predefined schedule based on age and sex, and are exempt from the Deductible, Coinsurance and Copayment amounts.
Preventive Services. Preventive Exams and Screenings – Adult Male Physical Exam 100% annually Prostate-Specific Antigen (PSA) 100% annually Lipid Panel 100% annually Glucose Testing 100% annually Colorectal Screening 100% annually Complete Blood Count (CBC) 100% annually Immunizations – Adult Male Tetanus Injections (with or without diphtheria) 100% as often as recommended by physician Meningitis 100% Herpes Zoster 100% Influenza Vaccine 100% annually Pneumococcal Vaccine 100% Travel Vaccinations 100% as often as recommended by physician Measles, Mumps, Rubella (MMR) for Adults 100% Preventive Exams and Screenings – Adult Female Physical Exam 100% annually, 1 general and 1 well-woman exam annually Lipid Panel 100% annually Glucose Testing 100% annually Colorectal Screening 100% annually Chlamydia Infection Screening 100% annually Mammogram 100% annually Bone Density 100% annually Pap Test 100% annually Complete Blood Count (CBC) 100% annually Immunizations – Adult Female Tetanus Injections (with or without diphtheria) 100% as often as recommended by physician Meningitis 100% Herpes Zoster 100% Influenza Vaccine 100% annually Human Papillomavirus (HPV) 100% Pneumococcal Vaccine 100% Travel Vaccinations 100% as often as recommended by physician Measles, Mumps, Rubella (MMR) for Adults 100% APPENDIX C – PREVENTIVE SERVICES Preventive Exams and Screenings – Children Birth to 18 (Covered as Well-Child Care) Office Visits; Examinations Includes: ■ Physical and medical history ■ Height and weight ■ Head circumference (<1 year) ■ Ocular prophylaxis (at birth) ■ Hemoglobin (<1 year) 100%, as often as recommended by physician up to age 2, annually as of age 2 ■ Preventive health counseling, injury prevention and education ■ Dental health ■ Subjective assessment of vision and hearing (0–4 years) ■ Vision and hearing screen (4–18 years) ■ Developmental screening (up to 4 years) ■ Blood pressure (>1 year) ■ Administration of immunizations as indicated below Immunizations – Children Birth to 18 (Covered as Well-Child Care) Hepatitis B Series Hepatitis A Series Diptheria/Tetanus/Pertussis (DTaP) Adult Tetanus/Diphtheria (Td) Haemophilus Influenza (Hib) Series Xxxxxxxxx Xxxxxxx 100%, as often as recommended by physician Rotavirus Polio Series (IPV) Pneumococcal Conjugate (PCV) Measles/Mumps/Rubella (MMR) Chickenpox Vaccine (VZV) Travel Vaccinations
Preventive Services. Procedures employed by properly licensed dentists to prevent the occurrence of dental disease. By way of description, such covered services include: Routine prophylaxis (cleaning), periodontal maintenance, and scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation; and topical application of fluoride, limited sealants, and space maintainers for eligible dependent children.
