Routine Preventive Care (In-Network Only)
The Plan covers preventive care only when it is provided by an In-Network doctor (unless you are eligible for Premier Plan Out-of-Area benefits or the MILA Medicare Wrap-Around Plan). Covered routine preventive care refers to regular checkups that are generally recommended on a fixed schedule and performed by a primary care physician (PCP). A PCP can be a family or general practitioner, an internist, pediatrician or gynecologist. Visits to your PCP for routine preventive care require no advance approval and include the following when provided by the PCP during the visit:
- Annual physical exams;
- Annual gynecological exams or initial maternity visits;
- Annual Pap smears;
- Mammograms;
- Newborn/well baby care to age three – routine exams and immunizations;
- Children age three or older – annual exam and immunizations; and
- Hearing exams – one every two years
