At UPMC Health Plan, we believe the disease or condition that’s easiest to treat is the one you never get. That’s why we cover so many preventive services for children and adults at 100 percent, which means you pay nothing.
These services fall into three categories:
- Health exams
Common adult screenings include cholesterol, blood pressure, mammograms, and colonoscopies. Common adult immunizations include the Tetanus, Diphtheria, Pertussis (Tdap) vaccine and those for the flu and shingles. If you have children covered under your plan, they’ll be covered at 100 percent for a variety of screenings and immunizations.
Please note that during a routine exam covered at 100 percent, your doctor may find something requiring follow-up care. What then? Here’s a good rule of thumb: (1) If your routine preventive service leads to the need for follow-up care, or (2) if you’re being treated for injury or illness, those services will likely be covered, but not at 100 percent.
So...what exactly is covered at 100 percent?
The Affordable Care Act requires that certain preventive services are covered at no cost to you.*
For a listing of what your plan covers at 100 percent, log in to MyHealth OnLine and click on the Plan Documents tab.
View Preventive Guidelines for Adults and Children
Lung cancer is the leading cause of cancer death for both men and women in the United States. Low-dose computerized tomography (CT) is a new screening* test that can improve lung cancer survival rates by finding signs of the disease at an earlier stage. Finding cancer early makes it easier to cure. Doctors use a low-dose CT scan of the lungs to look for signs of lung cancer.
Older adults who have smoked for a long time should get this test. Learn more about the screening and see if you should be tested.
*The medical term for testing to find a disease before it causes symptoms.