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Are prenatal visits considered preventive care bcbs manual#

The following contraceptive methods (devices and associated procedures, such as device removal, and pharmaceutical contraceptives) for women with reproductive capacity:.Pregnancy tests prior to the initiation of contraceptive will pay at 100%.Certain services for contraceptive device insertion and removal, such as ultrasounds to confirm IUD placement, will pay at 100%.Anesthesia services will pay at 100% only for sterilization.Description: All FDA approved contraceptive methods, sterilization procedures, education and counseling related to contraceptives.Who Should Get It: Women who are sexually active or thinking about becoming sexually active View a list of DME vendors (PDF) that carry breast pumps or use our Find Care tool to find a DME vendor close to you.Įxclusions: All other supplies are excluded (i.e., creams, nursing bras, milk storage bags) hospital-grade breast pumps are excluded and not covered Not all participating DME vendors carry breast pumps.Breast pumps must be purchased from participating Durable Medical Equipment ( DME) vendors.Replacement supplies are only covered after the breast pump has been purchased and are limited to 2 of each supply per year. Additional replacement supplies are not covered with the initial breast pump purchase.Breast pumps come with certain supplies, such as tubing, shields and bottles.Benefit available during third trimester (starting 11.1.16) or after member has delivered the baby.

Are prenatal visits considered preventive care bcbs manual#

One manual or electric breast pump purchase per pregnancy is covered.Certain breast pumps for pregnant and post-partum women.More information: Counseling covered at 100% through in-network providers (i.e., OB/ GYNs, midwives, facilities).Frequency: May vary based on your health so ask your doctor.Description: Interventions during pregnancy and after birth to promote and support breastfeeding comprehensive lactation (breastfeeding) support and counseling, by a trained provider during pregnancy and/or in the postpartum period, and costs for breastfeeding equipment (see Exclusions).Who Should Get It: Pregnant women/women who have delivered a baby recently

Barium enema is a covered service but not at 100% so you may have out of pocket costs.

If there is a medical reason you cannot use a generic bowel preparation medication, your doctor should review this ACA Copay Waiver Criteria (PDF) if you meet these criteria, they can submit this information on the ACA Copay Waiver form (PDF).

Certain bowel preparation medications for a screening colonoscopy are covered at 100% when prescribed by a doctor.

Provider consultation prior to the colonoscopy procedure is covered at 100%.

Anesthesia and pathology from polyps found during a screening colonoscopy is covered at 100%.

This colonoscopy will be covered but may not be considered preventive so you may have out of pocket costs.

Your doctor may order a colonoscopy more frequently than every 10 years.

If you had a polyps removed during a previous preventive screening colonoscopy, future colonoscopies will be covered but may not be considered preventive so you may have out of pocket costs.

Starting June 1, 2022, this follow up colonoscopy will be covered at 100%.

If you have a positive fecal blood test ( gFOBT or FIT or Cologuard) or visualization test ( CT colonography or sigmoidoscopy), your doctor may order a follow up colonoscopy.

Frequency: Using fecal blood testing ( gFOBT or FIT) annually, Cologuard every 3 years, sigmoidoscopy or CT/virtual colonography every 5 years, or colonoscopy every 10 years.

Description: Screening for colon/colorectal cancer in adults age 45 to 75 Effective no later than April 1, 2022, colorectal cancer screening and associated services are covered at 100% for eligible members aged 45 or older.