WELLNESS AND PREVENTATIVE COVERAGE
Wellness and preventive care benefits are provided at 100 percent of the allowable charge for certain diagnostic tests and up to two office visits each year. Wellness services are not subject to the calendar year deductible. Diagnostic tests are based on the participant's age and gender. Wellness and preventive care benefits are only provided when a participating provider renders the service and the wellness services are filed with a wellness diagnosis.
Benefits are provided for well-child care services for covered dependents up to age 18 at 100 percent. Services are not subject to the calendar year deductible. Benefits are only provided when a participating provider renders the service and the wellness services are filed with a wellness diagnosis.
Well-newborn nursery care is covered at 100 percent while a newborn is hospital-confined after birth. Well-newborn nursery care includes room, board and other normal care provided for which a network hospital or physician makes a charge. Also, well-child physician office visits, certain diagnostic tests and immunizations are covered at 100 percent.
Click here for Wellness/Preventive Coverage Guidelines. If you have questions about this coverage, please contact Blue Cross & Blue Shield of Mississippi at (800) 709-7881.
The State and School Employees Health Insurance Management Board reserves the right to amend, reduce or eliminate any part of the Plan's Wellness/Preventive Coverage Guidelines at any time.
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