Preventive care - SEBB

Preventive care

It might be hard to remember to go to the doctor when you’re not sick, but getting an annual checkup and other preventive care is one of the easiest ways to protect your health. That's why UMP plans cover a wide variety of preventive services with no copay, no coinsurance, and no deductible, meaning no out-of-pocket costs to you when you see a preferred or network provider.

What's covered?

Here are a few examples of covered preventive care:

  • Annual physical exam
  • Blood pressure screening
  • Screening mammograms for women ages 40 and older.
  • Cervical cancer screening (pap smear)
  • Covered immunizations. To find out which immunizations are considered preventive, check the Centers for Disease Control (CDC) immunizations schedules.

See the full preventive care list on HealthCare.gov or call UMP Customer Service to ask if a medical service is covered as preventive. Note that recommendations added during the calendar year may not be covered as preventive until later years. Call Washington State Rx Services for questions about preventive prescription drugs.

Avoid charges

You pay nothing for preventive services when you see a preferred or network provider. If you see an out-of-network provider, you will pay up to 50% of the allowed amount, and the provider may balance bill you. Follow-up visits or tests are not covered under the preventive care benefit.

Preventive immunizations are covered at 100% only when received from a preferred or network provider, network vaccination pharmacy, or public health department. The plan does not cover immunizations for travel or employment, even when recommended by the CDC or required by travel regulations.