Blue Shield - Preventative Services

Anthem – Prevention vs Diagnosis

Preventative Services

Here’s a Plain English List!  from Health Care.Gov and Blue Shield of preventative services you can get with NO DEDUCTIBLE.

However, if Preventive care is given during an Office Visit or as an outpatient it might not be covered that under the Preventative Care section of your policy.   Check with your doctor. Preventative Screenings and other services are covered with no deductible for adults and children with no current symptoms or history of a health problem. Specimen Policy Page 9

If one has history or symptoms, then it’s covered under the diagnostic benefit Page 7Subject to Co-Pays & the Deductible.   Maintenance of a known problem, like those listed below as common risk factors,  is certainly preventative, but isn’t defined that way under ObamaCare and is subject to the regular co-pays and deductibles.  Peter Lee of Covered CA thinks that’s a BIG problem, read more by on the link.  Annual physicals may not be a benefit LA Times 8.2.2016

Blue Shield Preventative Care Checklist 

Blue Shield - Preventative Services
 

Health Care Reform hopes to save premium dollars as 20% of Employee Health Care Spending is on these common risk factors: health net pulse.com/

President Kennedy – Help our country – Not just get free benefits

Technical Resources

US Preventative Services Task Force

ahrq.gov  Agency for Health Care Research & Quality

HR 3590 PPACA 2713 Page 13

whitehouse.gov/

California AB 2345 2010 De La Torre

Amendment to Interim Final Rules

Regulation

www.HealthCare.Gov

Public Comments on Interim Final Rule

Public Comments on Amendment to Interim Final Rule

Bricker & Eckler Esq

Consumer Links & Resources

NEW Laws & Regulations effective 1.1.2017  AB 1305, 339 & 1954  SB 999 – Deductible & OOP Maximums FAQ’s

DOL FAQ’s 12.20.2016PHS Section 2713  * KFF.org

Kaiser Permanente – 5.2017 Preventative Care

Medicare Guide to Preventative Services Pub 10110

Kaiser Foundation Preventative Services Tracker  ♦  Fact Sheet

Health Net Brochure on preventative services

Free Flu Shots

Specimen Evidence of Coverage – Platinum Page 92 – Preventative Care

Arthur Gallagher – FAQ‘s pdf

Blue Shield 9 page pdf showing covered services

Women’s Preventative Services – US Health & Human Services Dept.

Merck Manuals.com  

Los Angeles Times 9.8.2014 – Many people miss out on FREE Preventative care and initial MD visits in Bronze, Silver & Enhanced Silver.   LA Times 9.25.2015

Smart Phones latimes.com Health Net will be calling and sending postcards to encourage members to get their preventative exams exacttarget.com Vaccine Safety? Here’s an article from a friend of mine, Joel Harrison.  benthamscience.com

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Medicare’s Preventative Benefits 
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