Preventive Care Services definition

Preventive Care Services means the following, as further defined and interpreted by appropriate statutory, regulatory, and agency guidance:
Preventive Care Services means covered healthcare services performed to prevent the occurrence of disease as defined by the Affordable Care Act (ACA). See Preventive Care and Early Detection Services in Section 3. PRIMARY CARE PROVIDER (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctortool on our website or call Customer Service.
Preventive Care Services means covered healthcare services performed to prevent the occurrence of disease as defined by the Affordable Care Act (ACA). See Preventive Care and Early Detection Services in Section 3.

Examples of Preventive Care Services in a sentence

Immunizations for preventive care are provided as specified under Preventive Care Services.

Laboratory procedures for preventive care are provided as specified under Preventive Care Services.

Tests and Procedures for preventive care are provided as specified under Preventive Care Services.

X-ray services for preventive care are provided as specified under Preventive Care Services.

Physician’s Visits for preventive care are provided as specified under Preventive Care Services.


More Definitions of Preventive Care Services

Preventive Care Services means care that is provided to an individual to prevent disease, diagnose disease or promote good health.  The Contractor shall provide Hospice Care, provided in a facility or in the home, is a covered service. Subject to the limitations and definitions set forth in Indiana Code and in the list of covered benefits.  The Contractor shall provide Diabetic Supplies Coverage. The Contractor shall cover diabetic supplies in alignment with FSSA’s Preferred Diabetic Supply List (PDSL). The Contractor shall configure its claims payment system to approve the diabetic supplies of FSSA’s contracted preferred vendors to supply blood glucose monitors and diabetic test strips for all IHCP enrollees. The Contractor shall adjudicate diabetic supplies through their PBM’s point of sale system to ensure that NDCs are on the claim. The Contractor shall require prior authorization for all blood glucose monitors and diabetic test strips not on the PDSL.
Preventive Care Services means care that is provided to an individual to promote health, prevent disease, or diagnose disease.
Preventive Care Services means care that is provided to a member to:
Preventive Care Services. Hospital Delivery chargesPrenatal testing or treatment billed separately from “globalfeePostnatal visit or treatment billed separately from “global” fee PCP or Specialist Office Visit Benefit applies 20% after Plan Deductible 20% after Plan Deductible 20% after Plan Deductible PCP or Specialist Office Visit Benefit applies Dialysis Inpatient Outpatient 20% after Plan Deductible 20% after Plan Deductible Family Planning Services Voluntary Surgical Sterilization • Inpatient & Outpatient • Primary Care Physician Office Visit/Specialty Care Physician Office Visit • Infertility Service (see “Services and Benefits”, “Infertility” section in your service Agreement for specific information about what services are covered) Women: No Charge; Deductible Waived Men: 20% after Deductible Women: No Charge; Deductible Waived Men: PCP or Specialist Office Visit Benefit applies 20% after Plan Deductible What's Covered What You Pay Hospice Inpatient Outpatient 20% after Plan Deductible 20% after Plan Deductible Newborn/Infant Hearing Screening No Charge, Deductible Waived Mental Health and Substance Abuse Substance Use Disorder • Outpatient (includes individual, group, intensive outpatient and partial hospitalization) • Office Visit • All other Outpatient Services • Inpatient Detoxification/Rehabilitation (includes Acute and Residential Treatment) 20% after Plan Deductible $75 Copayment per office visit Deductible Waived 20% after Plan Deductible 20% after Plan Deductible Mental Health Services Outpatient (includes individual, group, intensive outpatient and partial hospitalization) Office Visit All other Outpatient Services Inpatient (includes Acute and Residential Treatment) 20% after Plan Deductible $75 Copayment per office visit Deductible Waived 20% after Plan Deductible 20% after Plan Deductible Home Health Services Maximum 42 visits per Calendar Year. See Service Agreement for Benefits, Exclusions and Limitations No Charge, Plan Deductible Waived Durable Medical Equipment See Service Agreement for benefit exclusions. 20% after Plan Deductible External Prosthetics See Service Agreement for benefit exclusions. 20% after Plan Deductible Hearing Aids Maximum 1 hearing aid per ear, per Calendar Year. See Service Agreement for benefit exclusions. 20% after Plan Deductible
Preventive Care Services means the following, as further defined and interpreted by appropriate
Preventive Care Services means the following, as further defined and interpreted by appropriate statutory, regulatory, and agency guidance:Evidence-based items or services with an “A” or “B” rating from the U.S. Preventive Services Task Force (USPSTF);Immunizations for routine use in children, adolescents and adults with a recommendation in effect from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.Evidence-informed preventive care screenings for infants, children and adolescents provided in guidelines supported by the Health Resources and Services Administration (HRSA); andEvidence-informed preventive care and screening for women provided in guidelines supported by HRSA and not otherwise addressed by the USPSTF
Preventive Care Services means covered health care services performed to prevent the occurrence of disease as defined by PPACA. See the Preventive Care Services and Early Detection Services section.