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Preventive care

young female medical provider looking at a tablet

Together, we can care for your health at any age.

Preventive care is meant to help you stay as healthy as possible. Annual preventive visits, tests and screenings allow your primary care provider (PCP) to find, treat or prevent medical problems or diseases before they become major health concerns.

Talk with your PCP about which preventive care services you need and when you need them. Your PCP will consider things like family history, age, sex and current health status. Your PCP can also help coordinate any lab tests, screenings and vaccines you are due for.

See a list of covered preventive services from

Preventive benefits versus non-preventive services

With a network provider**, preventive benefits are covered at $0. Non-preventive services may have some out-of-pocket costs (copays, deductibles, cost-sharing). Annual visits with your PCP, vaccinations (like the flu shot) and certain routine tests and screenings are examples of preventive care. 

Please note that not all screening tests are covered at no cost to you—it is only those that doctors and scientists have determined to be of the greatest value in keeping you healthy. Examples of tests that will lead to some cost-sharing are screening metabolic panels or a screening EKG.

*If your plan uses a provider network, review your summary of benefits and coverage for network provider details.

Your insurance may cover more services than are recommended.

Talk to your doctor about which services you should receive.

* Covered preventive services listed are for the 2022 benefit year and may change after 2022. Some labs, when provided as part of a preventive visit, are covered at 100%. To understand what labs are covered, see plan for details or call Customer Care at 1-877-230-7555.

** Ask your clinic to verify your provider is in-network.


Dr. Shah speaks at Wellness Webinars on YouTube about a variety of topics such as breast cancer awareness, cervical health, and colorectal health in these short videos (see the Physical topics).

Complete activities to test your knowledge:

We offer a Workplace Wellness Program for Employers with toolkits that contain fun activities to test your knowledge on topics such as heart, cervical, colorectal, and mental health.

Did you know?

Some health care terms are used the same way when they may, in fact, mean something different. For example:

Vaccination vs. Immunization

  • Vaccination: Introducing a vaccine into the body, usually with a shot, to help give immunity to a specific disease. Immunization: When a person becomes protected against a disease through vaccination.

Some health care terms mean the exact same thing. For example:

Flu shot and Influenza vaccine

  • A flu shot is a influenza vaccine that protects against infection by influenza (or flu) viruses.

See flu vaccination page

Member benefits

As your children grow, it’s important to keep them protected from serious diseases. Check with your doctor to ensure your child receives their childhood vaccines – including their flu vaccine - on time.

As a Prevea360 Health Plan member with pharmacy benefits, you and your children can receive these essential immunizations from your provider at your annual preventive care visit.

Health plan members, ages six and older, can also get vaccines at the pharmacy. Find a pharmacy near you.

Please note

If you receive preventive care marketing materials from sources other than your Health Plan, PCP or primary clinic, ask your PCP if you are due for the stated service or screening and how it’s covered by your health insurance.

To see your specific preventive care coverage details, review your member certificate and summary of benefits.

You can also call the Customer Care Center number listed on the back of your membership card to ask questions about your coverage.

Q&A: Preventive care