The preventive services listed below are available to Blue Cross of Idaho members with no-cost sharing when provided by an in-network provider per the requirements of the Patient Protection and Affordable Care Act (PPACA). Some assessments or services are included as part of the preventive office visit.
Preventive services include, but are not limited to, services like annual adult physical examinations and routine or scheduled well-baby and well-child examinations. Blue Cross of Idaho may adjust specifically listed preventive services to coincide with new or revised laws or regulations. Additionally, some services are subject to certain limitations depending on medical necessity and other reasonable medical management techniques.
This information is intended as a reference tool and is not a guarantee of payment. Review your healthcare plan for coverage details or call customer service at the number on the back of your ID card for assistance.
Preventive care covered services include services and tests awarded an A and B rating from the U.S. Preventive Services Task Forces (USPSTF) and the Health Resources and Services Administration (HRSA).
If you are on a Grandfathered Plan, please refer to your Enrollee Certificate for Preventive/Wellness Benefits.