Common use of Other Medical Services Clause in Contracts

Other Medical Services. In addition to PCPs, specialists, and hospitals, the network includes other health care professionals to meet your needs. If you need diagnostic testing, laboratory services or other health care services, your PCP or participating OB/GYN will coordinate your care or refer you to an appropriate setting. You may have to pay a copayment and any other applicable coinsurance or deductibles for some of these services, depending on your plan. Preventive Care Preventive care is a key part of your plan, which emphasizes staying healthy by covering: • Well-child care, including immunizations • Prenatal and postnatal care • Hearing loss screenings through 24 months • Periodic health assessments • Eye and ear screenings • Annual well-woman exams, including, but not limited to, a conventional Pap smear • Annual screening mammograms for females age 35 and over, or females with other risk factors • Bone mass measurement for osteoporosis • Prostate cancer screening for males at least age 50, or at least age 40 with a family history of prostate cancer • Colorectal cancer screening for persons 50 years of age and older • Depending on your plan, any other evidence-based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Task Force (“USPSTF”) or as required by state law. Your mental health benefits include outpatient and depending on your plan inpatient visits for crisis intervention and evaluation. Please refer to your COC for additional information. To access mental health services, call the designated behavioral health vendor listed on the back of your ID card. Prescription Drugs Depending on your plan, you may have coverage for prescription drugs. To find out which prescription drugs are covered under a plan, you can review the applicable drug list at xxx.xxxxxx.xxx/xxxxxx/xx_xxxxx.

Other Medical Services. In addition to PCPs, specialists, and hospitals, the network includes other health care professionals to meet your needs. If you need diagnostic testing, laboratory services or other health care services, your PCP or participating OB/GYN will coordinate your care or refer you to an appropriate setting. You may have to pay a copayment and and/or any other applicable coinsurance or deductibles (if any) for some of these services, depending on your plan. Preventive Care Preventive care is a key part of your plan, which emphasizes staying healthy by covering: • Well-child care, including immunizations • Prenatal and postnatal care • Hearing loss screenings through 24 months • Periodic health assessments • Eye and ear screenings • Annual well-woman exams, including, but not limited to, a conventional Pap smear Sample • Annual screening mammograms for females over age 35 and over35, or females with other risk factors • Bone mass measurement for osteoporosis • Prostate cancer screening for males at least age 50, or at least age 40 with a family history of prostate cancer • Colorectal cancer screening for persons 50 years of age and older • Depending on your plan, any plan - Any other evidence-based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Task Force (“USPSTF”) or as required by state law. Behavioral Health Your mental behavioral health benefits include outpatient and (depending on your plan plan) inpatient visits for crisis intervention and evaluation. Please refer to your COC for additional information. To access mental behavioral health services, call the designated behavioral health vendor listed on the back of your ID card. Prescription Drugs Depending Copayments /Coinsurance and Deductibles (if any) A copayment and/or any applicable coinsurance or deductible (if any) may be due at the time a participating provider renders service. Certain copayment amounts and/or any applicable coinsurance or deductible (if any) and the corresponding types of services are listed on your ID card. For a complete list, refer to the Schedule of Copayments and Benefit Limits in your COC. The copayment and/or any other coinsurance or deductible amount (if any) is determined by your plan. Usually, you may have coverage are expected to pay nothing more than a copayment and/or any applicable coinsurance or deductible (if any) to participating providers. You should not receive a bill for prescription drugsservices received from participating providers. To find out which prescription drugs are If this occurs, call Customer Service to help determine if the service is a covered under a plan, you can review benefit and/or to correct the applicable drug list at xxx.xxxxxx.xxx/xxxxxx/xx_xxxxxproblem.

Other Medical Services. In addition to PCPs, specialists, and hospitals, the network includes other health care professionals to meet your needs. If you need diagnostic testing, laboratory services or other health care services, your PCP or participating OB/GYN will coordinate your care or refer you to an appropriate setting. You may have to pay a copayment and any other applicable coinsurance or deductibles for some of these services, depending on your plan. Preventive Care Preventive care is a key part of your plan, which emphasizes staying healthy by covering: • Well-child care, including immunizations • Prenatal and postnatal care • Hearing loss screenings through 24 months • Periodic health assessments • Eye and ear screenings • Annual well-woman exams, including, but not limited to, a conventional Pap smear • Annual screening mammograms for females age 35 and over, or females with other risk factors • Bone mass measurement for osteoporosis • Prostate cancer screening for males at least age 50, or at least age 40 with a family history of prostate cancer • Colorectal cancer screening for persons 50 years of age and older • Depending on your plan, any Any other evidence-based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Task Force (“USPSTF”) or as required by state law. Your mental health benefits include outpatient and depending on your plan inpatient visits for crisis intervention and evaluation. Please refer to your COC for additional information. To access mental health services, call the designated behavioral health vendor listed on the back of your ID card. Prescription Drugs Depending on your plan, you may have coverage for prescription drugs. To find out which prescription drugs are covered under a plan, you can review the applicable drug list at xxx.xxxxxx.xxx/xxxxxx/xx_xxxxx.

Other Medical Services. In addition to PCPs, specialists, and hospitals, the network includes other health care professionals to meet your needs. If you need diagnostic testing, laboratory services or other health care services, your PCP or participating OB/GYN will coordinate your care or refer you to an appropriate setting. You may have to pay a copayment and any other applicable coinsurance or deductibles for some of these services, depending on your plan. Preventive Care Preventive care is a key part of your plan, which emphasizes staying healthy by covering: •  Well-child care, including immunizations •  Prenatal and postnatal care •  Hearing loss screenings through 24 months •  Periodic health assessments •  Eye and ear screenings •  Annual well-woman exams, including, but not limited to, a conventional Pap smear •  Annual screening mammograms for females age 35 and over, or females with other risk factors •  Bone mass measurement for osteoporosis •  Prostate cancer screening for males at least age 50, or at least age 40 with a family history of prostate cancer •  Colorectal cancer screening for persons 50 years of age and older •  Depending on your plan, any other evidence-based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Task Force (“USPSTF”) or as required by state law. Your mental health benefits include outpatient and depending on your plan inpatient visits for crisis intervention and evaluation. Please refer to your COC for additional information. To access mental health services, call the designated behavioral health vendor listed on the back of your ID card. Prescription Drugs Depending on your plan, you may have coverage for prescription drugs. To find out which prescription drugs are covered under a plan, you can review the applicable drug list at xxx.xxxxxx.xxx/xxxxxx/xx_xxxxx.

Other Medical Services. In addition to PCPs, specialists, and hospitals, the network includes other health care professionals to meet your needs. If you need diagnostic testing, laboratory services or other health care services, your PCP or participating OB/GYN will coordinate your care or refer you to an appropriate setting. You may have to pay a copayment and any other applicable coinsurance or deductibles for some of these services, depending on your plan. Preventive Care Preventive care is a key part of your plan, which emphasizes staying healthy by covering: •  Well-child care, including immunizations •  Prenatal and postnatal care •  Hearing loss screenings through 24 months •  Periodic health assessments •  Eye and ear screenings •  Annual well-woman exams, including, but not limited to, a conventional Pap smear •  Annual screening mammograms for females age 35 and over, or females with other risk factors •  Bone mass measurement for osteoporosis •  Prostate cancer screening for males at least age 50, or at least age 40 with a family history of prostate cancer •  Colorectal cancer screening for persons 50 years of age and older • Depending on your plan, any  Any other evidence-based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Task Force (“USPSTF”) or as required by state law. Your mental health benefits include outpatient and depending on your plan inpatient visits for crisis intervention and evaluation. Please refer to your COC for additional information. To access mental health services, call the designated behavioral health vendor listed on the back of your ID card. Prescription Drugs Depending on your plan, you may have coverage for prescription drugs. To find out which prescription drugs are covered under a plan, you can review the applicable drug list at xxx.xxxxxx.xxx/xxxxxx/xx_xxxxx.