If you have a health plan that covers preventive care, it may depend on how the doctor bills for your visit. For example, if you discuss specific health issues during an annual preventive visit, your doctor might bill an additional appointment for an office visit or sick visit, leading to a copay or full payment required for the additional visit. Also, it is important to note that n ot all procedures or tests recommended by your doctor will qualify as preventive care under the Affordable Care Act (ACA).
If you have a health plan that covers preventive care, it may depend on how the doctor bills for your visit. For example, if you discuss specific health issues during an annual preventive visit, your doctor might bill an additional appointment for an office visit or sick visit, leading to a copay or full payment required for the additional visit. Also, it is important to note that n ot all procedures or tests recommended by your doctor will qualify as preventive care under the Affordable Care Act (ACA).
Most likely. If you have Preventive series or Care+ series health plan it covers preventive services as outlined by the Affordable Care Act. If you do not have a Planstin-managed health plan and you have questions about your benefits, contact Member Services at 888-920-7526 .
Maybe. All Planstin-managed health plans cover preventive labs as outlined by the ACA. Beyond that, certain labs may be covered depending on your health plan. For example, if you have the Preventive Copay health plan, or the Care+ Copay plan, you have coverage for a limited number of labs—up to $100 per lab test*. *Please note: this is per test not per blood draw. To learn more about your specific plan coverage, please click on " Plan Documents " and search for the plan name listed on your member ID card. As you type in your plan name your search results will include a plan outline and SBC.
Maybe. Some Planstin-managed health plans include remote or virtual care services. Telemedicine may be made available to members through Teladoc Health, Amaze Health, or Primestin Care depending on their specific health plan and other benefits. To verify if your health plan includes telemedicine or virtual care services you can: 1) Ask your employer. 2) Contact Member Services at 888-920-7526 . 3) Click on " Plan Documents " and search for the plan name listed on your member ID card. Your search results will include a plan outline and SBC with your plan details. Note: Your employer may have offered you telemedicine services separate from a health plan.
Yes. If you have a Preventive series or Care+ series health plan, COVID-19 vaccines are covered when administered in a doctor's office*. *Note: The vaccine will not be covered if received at a pharmacy. What options do I have to get the vaccine? Option 1: Use a federal or state program to obtain the vaccine: https://www.vaccines.gov/ . Option 2: Go to a provider to obtain the vaccine. Your plan will pay the Medicare or UCR rate, and there should be $0 patient responsibility. If you receive a bill for a preventive service, such as a flu or COVID vaccine, contact Member Services immediately.