Contact your insurance company if you have questions about your plan or fees.Talk to a health care provider to know which covered preventive services are right for you - based on your age, gender, and health status.Grandfathered plans: If your plan is “ grandfathered,” these benefits may not be available to you.Office visit fees: Be aware that your plan can require you to pay some costs of the office visit if the preventive service is not the primary purpose of the visit.Your health plan may allow you to receive these services from an out-of-network provider but may charge you a fee. Out-of-network providers: These services are free only when delivered by a doctor or other provider in your plan’s network.Why am I being charged a fee for preventive care? Counseling, screening, and vaccines to ensure healthy pregnancies.Routine vaccinations against diseases such as measles, polio, or meningitis.Regular well-baby and well-child visits.Please check Chapter 30 of the OHCA Rules for the most up to date information. The benefits and coverage outlined here may change. However, there are limitations that apply to ensure that only medically necessary services are provided. Counseling on such topics as quitting smoking, losing weight, eating healthfully, treating depression, and reducing alcohol use SoonerCare (Oklahoma Medicaid) covers many health care services.Many cancer screenings, including mammograms and colonoscopies.Blood pressure, diabetes, and cholesterol tests.Most plans must over a set of preventive services – like shots and screenings – at no cost to you.įor example, depending on your age, you may have access to no-cost preventive services such as:
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