Preventive Care

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In addition to making healthy lifestyle choices, preventive care is an essential part of living a longer, healthier life. It includes screenings, check-ups, vaccinations, patient counseling, and some medications.  The preventive care that is recommended for you depends on your age, sex, health history, and current health status.

Preventive care services and medications, as outlined by the Affordable Care Act (ACA), are covered at 100% for State Health Plan members on the 80/20 Plan.  For details, please go to the Employee Benefits page and view your plan’s Preventive Medical Services Summary or ACA Preventive Medications List.

For members on the 70/30 Plan, preventive care services and medications are subject to the applicable copay or coinsurance. For details about coverage and cost of preventive care on the 70/30 Plan, please go to the Employee Benefits page and refer to your Benefits Booklet.

Make sure you are getting the preventive care you need—schedule an annual check-up with your Primary Care Provider.  This routine exam gives you an opportunity to identify any changes in your health in the past year and receive any recommended preventive care.