Protect Your Health With Preventive Care
July 23, 2020
Do you know all the benefits SmartHealth provides for you? Your SmartHealth plan offers you many benefits, and not just coverage for unexpected ill health. Your coverage includes preventive care and testing for adults, pregnant women, teens, children and infants. Preventive care helps you get and stay healthy and SmartHealth pays for 100% of certain preventive care services.
Get your vaccines
Preventive care includes standard childhood and many adult vaccines, including the annual flu shot.
Many illnesses can be avoided entirely or have their effects minimized by following proper immunization and vaccination schedules recommended by doctors, and required in most states and school districts for children. All standard childhood vaccines are fully covered without any out-of-pocket costs as part of the SmartHealth preventive services.
Standard childhood vaccinations can stop or curtail polio, measles, mumps, rubella, the human papillomavirus which causes many cancers, some forms of hepatitis, tetanus, diphtheria, chickenpox and other serious diseases.
Childhood vaccinations save lives so don’t neglect to get your child vaccinated, especially since it is a fully covered preventive SmartHealth service.
Adults also need vaccinations and they are covered under the equivalent SmartHealth preventive services provided to children. Tetanus, diphtheria, some forms of hepatitis, shingles and depending on age human papillomavirus can all be curbed with proper immunization.
Additional preventive benefits
Other infant, childhood and teen services provided without further cost to members include:
- Hearing and vision testing
- Well-baby and well-child care
- Depression screening
- Developmental and behavioral testing
- Lead exposure test
- Obesity screening
- Sexually transmitted infection screening tests and counseling
- Tobacco & alcohol use counseling
Pregnancy care covered without further cost includes:
- Breastfeeding supplies, and counseling and support
- Folic acid supplements
- Testing for iron deficiency and anemia
- Gestational diabetes screening
- Hepatitis B testing
- Looking for Iron deficiency anemia
- Screening for postpartum depression
Adult testing, screening and other services include:
- Alcohol misuse screening and behavioral counseling interventions
- Blood pressure screening
- Counseling and genetic testing for breast cancer
- Breast cancer counseling for genetic testing
- Cervical cancer screening (Pap test and/or HPV)**
- Chlamydia and gonorrhea testing
- Cholesterol testing
- Colon cancer tests
- Depression screening
- Type 2 diabetes testing
- Lung cancer
- Mammograms
- Osteoporosis testing
- Obesity screening
- Tobacco cessation programming
- Counseling for sexually transmitted infections (STI)
Learn more about preventive care coverage
Be sure to consult the Overview of SmartHealth Preventive Services for information about these services and more, and the SmartHealth Health Preventive Guidelines for information about the limits of these benefits.
You should be aware as a member you may have certain out-of-pocket expenses for most non-preventive services and treatments not listed in this article that vary according to your plan. These expenses may include coinsurance, copays, deductibles and more.
Make certain to check with the plan documents that you received when you enrolled to see your specific out-of-pocket expenses as well as coverage limits.
You can also check the Schedule of Benefits and the Summary Plan Description in the Information Center for more information, both of which contain important details about your SmartHealth plan and how preventive services are covered.
All of these benefits, as required by the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010 (HCERA), are provided at no out-of-pocket or further cost for the member at in-network providers.
