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Vital Signs, Histories, General Appearance, Heart Exam, Lung Exam, Head and Neck Exam, Abdominal Exam, Neurological Exam, Dermatological Exam, Extremities Exam

Male Physical Exam
- Testicular exam, Hernia exam, Penis exam, Prostate exam, Age Appropriate Screenings

Female Physical Exam
- Breast exam, Pelvic exam, Age Appropriate Screenings

Any A or B recommendation by the US Preventative Services Task Force (USPSTF) are generally covered as part of a wellness exam.

Q: Why did I receive a bill after my routine preventive exam when it was supposed to be covered at 100%? This exam is prevention focused, not problem focused. If you have a new health problem or other diagnoses that needs to be addressed during your preventive office visit, e.g., high blood pressure, diabetes, medication refills, skin rash, or headaches, you may receive a bill. The portion of your visit related to problems would apply toward your deductible and coinsurance, per your insurance company.

Q: Will my provider address only what my health plan covers for a routine preventive exam? Providers will order tests and screenings needed to provide you with whole person comprehensive care. Services outside of A or B recommendations by the USPSTF may or may not be covered as preventative. You are responsible for knowing what services are covered under your health plan. Review your Summary of Benefits prior to your preventive exam or call Customer Service for your benefit information.

Q: What can I do to make sure I receive my routine preventive exam benefit (100% coverage in-network)?
You can take the following steps to help ensure your routine exam is billed correctly:
1. When scheduling your routine preventive exam with your provider’s office, use the terms “routine preventive exam” or “annual physical”, not “check-up”, which implies checking up on a health problem.
2. When you talk with your provider, let them know you are there for your routine preventive exam.
3. If you bring up health problems (i.e. skin rash) during your routine preventive exam, understand that you may have a charge related to the treatment of that problem.
4. Make sure to schedule regular follow-up appointments to address your chronic conditions

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