Well Adult Benefits
Well visits may be a key part of preventive care. State Health Plan primary members, ages 19 and older, are eligible for one adult well visit each year at no member cost. Evidence-supported services, based on U.S. Preventative Task Force (USPSTF) A and B recommendations, are included as part of an adult well visit. Adult members can take advantage of this benefit at a network provider specializing in general practice, family practice, pediatrics, internal medicine or gerontology.
Eligible female members can also receive an annual adult well woman visit at no cost. Women can take advantage of the well woman benefit at a network provider specializing in general practice, family practice, internal medicine, obstetrics and gynecology, or gerontology. A female member may receive both an adult well visit and a well woman visit in the same plan year, but the USPSTF recommended services will not be covered more than once per plan year. Additionally female members cannot receive the same service at both an adult well visit and well woman visit in the same plan year; duplicate services will be denied.
Women ages 18-65 can also receive a Pap test each calendar year at no member cost.
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