Standard Plan members
Adult members can take advantage of this benefit at an eligible network provider. Well visits are subject to copayments, deductibles and coinsurance in covered years. The Plan will cover only one visit in covered years, based on the following schedule:
In non-covered years, you will pay 100 percent of the State Health Plan’s negotiated rate. Additionally, the amount you pay for a well visit in a non-covered year will not apply toward your deductible or coinsurance maximum.
Savings Plan members
The Plan will cover a well visit every year at no member cost at an eligible network provider.
Even if 2020 is not a covered year for you, there is plenty you can do to support your health before your next adult well visit:
Your adult well visit is an ideal time to speak to your doctor about how best to incorporate these healthy habits into your daily routine and discuss additional recommendations for living your healthiest life, both in covered years and in all your years to come.