An ounce of prevention is worth a pound of cure. HMSA encourages you to receive the appropriate covered immunizations and screenings to lower your risk of chronic diseases.
Preventive services covered under the Affordable Care Act
If your HMSA plan has implemented health care reform provisions under the Affordable Care Act, you have 100% for the following services if obtained from a participating provider:
- Preventive Health Guidelines – Men
- Preventive Health Guidelines – Newborns and Children
- Preventive Health Guidelines – Prenatal Care
- Preventive Health Guidelines – Women
Please ask your PCP at your next checkup if you’re due for any of these services.
These preventive services are covered without a copayment if your participating provider bills the service in accordance with the billing instructions described in the above-mentioned medical policies. We encourage you to visit a participating provider to receive the best benefit. If you receive these services from a nonparticipating provider, you’ll have a copayment. Please review your Guide to Benefits for information about your copayment amounts and preventive services that are a benefit of your plan.