Routine Exams
Also referred to as: Preventive Exams, Annual Exam, Routine Physical


Description
Routine exams are when there is no existing condition being monitored or no complaint about your health, regardless of the reasons that you scheduled your office visit.


What are the ways that this is covered?

  • Preventive Health Care



Where do I find out how this will be covered with my benefit plan?

  • Most plans list coverage for a Routine Exam benefits will be found in the Professional/Physician Services section of your benefit document. It will be paid under the early disease detection services including physicals section.

 
Things to remember

  • If during your visit, a condition is diagnosed, monitored, or treated you will be responsible for an office visit regardless of why you scheduled the appointment. Your office visit benefits are found in the Professional/Physician Services section under office visit.
  • If you receive a prescription to treat a condition or an ongoing prescription is renewed during your visit, you may be responsible for an office visit charge. Your office visit benefits are found in the Professional/Physician Services section under office visit.
  • If you have any further questions regarding your benefits, please contact Customer Service at the number on the back of your ID card.



Return to Coverage Guidelines.

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