Routine & Preventive
This services may help to decrease the cost of care by identifying and treating at risk patients before they develop serious medical conditions
What Routine Service
______ wellness visits are covered once every calendar year or benefit period, depending on the contract.
What is Annual
List 3 covered services for appropriate screening test and services for cancer
What is
•Colorectal
•Prostate
•Well woman exam – gynecologic and breast
Physical services for adults may include
what is (anyone of these answer will do)
•History and risk assessment
•Chest x-ray
•EKG
•Urinalysis
•General health panel
•Basic or comprehensive metabolic panel test
•Complete Blood Count (CBC)
Lipoprotein profile
These include, but are not limited to:
•Rabies
•Yellow Fever
•Typhoid Meningococcus
Tick-Borne and Japanese Encephali
What is Therapeutic Immunization
Immunization are part of __________.
What is Preventive Care
Name two well-women screening
What is Mammograms and Gynecological exams
How often should a woman age 50 get a mammogram?
What is yearly
The following contraceptive services are covered by some plans under the adult wellness benefit
What is
•Exams
•Fitting of contraceptive cap
•Diaphragm
•Intrauterine device (IUD)
This cover
•Polio (IPV)
•Measles, Mumps, Rubella (MMR)
•Chicken Pox
•Tetanus and Diphtheria (DTaP)
•Influenza (Flu)
•Pneumococcal (PVC) pneumonia
•Hepatitis A and B
What is Preventive Immunization
Z13.0 is the diagnosis code for
What is routine & preventive services
Florida Blue considers an adult as someone ______ of age or older
What is 18
This screening maybe used for men to eliminate unnecessary prostate biopsies and may provide early detection of prostate cancer in some men.
What is Prostate Specific Antigen (psa)
How much is a breast pump when proved by Florida blue
what is no member cost share for non grandfathered plans
contain fragments of the disease organism, causing the immune system to develop antibodies that can subsequently recognize and attack the organism
What is Vaccines
Diagnosis codes that are considered preventive are loaded in
What is diamond
__________ refers to preventive services delivered routinely to children from the moment of birth up to the child’s 18th birthday.
what is well-child care
what are some gynecological exams
what is
•Pap smear
•Manual breast
•Pelvic
How often is Domestic violence benefits are provided?
Annualy
true or false
Immunizations can be covered differently, depending on the plan
What is true
The ___________ helps make prevention affordable and accessible for all Americans by requiring health plans to cover many preventive services and by eliminating cost sharing for these essential services.
What is Patient Protection and Affordable Care Act (PPACA)
Name 4 well-child care that can covered without limitations.
What is
•Periodic examinations
•Oral and/or injectable immunizations
•Laboratory services
•Development tests
Colorectal cancer screening are usually recommended for members ages
What is age 50 and older
what are some contraceptive services that are not covered under the member’s medical policy, but may be covered under the pharmacy benefit.
What is
•Injections
•Implants
•The patch
•Oral
true or false
In some instances, immunization may not be covered on the benefit contract
True