Take Care of Yourself

Use your preventive care benefits

Getting regular checkups and exams can help you stay healthy and catch problems early - when they're easier to treat.

That's why our health plans offer all the age-appropriate preventive care services and immunizations below - at no cost to you*. As long as you see a doctor or use a pharmacy or lab in the plan, you won't have to pay anything for these services and immunizations. If you want to visit a doctor or pharmacy outside the plan, you may have to pay out of pocket.

Not sure which services make sense for you? Talk to your doctor. He or she can help you figure out what you need.

Preventive Care vs. Diagnostic Care

What's the difference? Preventive care helps protect you from getting sick. If your doctor recommends you have services even though you have no symptoms, that's preventive care. Diagnostic care is when you have symptoms and your doctor recommends services to determine what's causing those symptoms.

  • Preventive Care. Some tests and exams can help catch problems early on or keep them from starting, and even save your life. These are called "preventive care" because they can help prevent some health problems.
  • Diagnostic Care. Diagnostic tests are for when someone has symptoms of a health problem, and the doctor wants to find out why. Diagnostic tests help diagnose a health problem.

It's important to know the difference. For example, your doctor might want you to get a colonoscopy (a test that checks your colon). If it's because of your age, or because your family has a history of colon problems, it preventive care. But if it's because you're having pain or other symptoms of a problem, it's diagnostic care.

For a full list of adult and child preventive care exams and screenings available at no cost by an in-network provider, download our Preventive Care Info Sheet. You can also visit anthem.com/preventive-care to find out the preventive care guidelines for your age and gender.

When was your last checkup?

Regular well checkups can help you get and stay healthy

Checkups, or preventative exams, give you and your doctor a snapshot of your health. They also give you a chance to talk to your doctor about any problems or questions you have.

What to expect:

Most checkups start with a talk about your health history and any problems. After that, most doctors will talk to you about things like:

  • Medicines you take
  • How you eat - and how you could eat better
  • How active you are - and whether you should be more active
  • Stress in your life, or signs of depression
  • Drinking, smoking and drug use
  • Safety, like wearing your seat belt and using sunscreen
  • You sexual habits and any risks they pose
  • Tests and vaccines you may need

Get more from you exam

It will help both you and your doctor if you make some notes about your health ahead of time. Before you visit, write down:

  • Your health history and your family's, especially if anything has changed since your last visit.
  • Any medicines you take, how much you take and how often (don't forget vitamins and over-the-counter drugs).
  • Concerns you have about your health.
  • Any problems you're having or changes you've noticed.

NEED A DOCTOR? Go to anthem.com/member-needs for a link to the Find a Doctor tool.

FIGHTING THE FLU AND PNEUMONIA. Download Anthem's information sheet to help you and your family fight the flu and pneumonia each year. Most importantly, get your flu shot! Call the number on your member ID card or visit anthem.com to find a health professional in your plan near you.

1 The range of preventive care services covered at no cost share when provided by plan doctors is designed to meet state and federal requirements. The Department of Health and Human Services decided which services to include for full coverage based on U.S. Preventive Services Task. Force A and B recommendations, the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), and certain guidelines for infants, children, adolescents and women supported by Health Resources and Services Administration (HRSA) Guidelines. You may have additional coverage under your insurance policy. To learn more about what your plan covers, see your Certif cate of Coverage i or call the Member Services number on your ID card.

2 Some plans cover additional vision services. Please see your contract or Certif cate of Coverage i for details.
3 You may be required to get preapproval for these services.
4 Check your medical policy for details.
5 Breast pumps and supplies must be purchased from plan providers for 100% coverage. We recommend using plan durable medical equipment (DME) suppliers.
6 This benef t also applies to those younger than age 19. i
7 Counseling services for breastfeeding (lactation) can be provided or supported by a plan doctor or hospital provider, such as a pediatrician, obstetrician/gynecologist or family medicine doctor, and hospitals with no member cost share (deductible, copay, coinsurance). Contact the provider to see if such services are available.
8 A cost share may apply for other prescription contraceptives, based on your drug benef ts. i
9 Your cost share may be waived if your doctor decides that using the multisource brand is medically necessary.
Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Copies of Colorado network access plans are available on request from member services or can be obtained by going to anthem.com/co/networkaccess. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain aff liates administer non-HMO benef ts underwritten by HALIC and HMO benef ts underwritten by HMO Missouri, Inc. RIT i i i and certain aff liates only provide administrative services for self-funded plans and do not underwrite benef ts. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), underwrites or administers PPO and indemnity policies and underwrites the out of network benef ts in POS policies offered by Compcare Health Services Insurance Corporation (Compcare) or Wisconsin Collaborative Insurance Corporation (WCIC). Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.
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