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Routine preventive care helps you manage and maintain your health, and is generally covered at 100% by most health plans.

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Preventive Care

General Guidelines

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Preventive Service Frequency Age
Wellness Exam Annual All ages
Flu Shot Annual  All ages over 6 months
Immunizations As Appropriate All ages
Colorectal Cancer Screening Varies based on type of screening Beginning at age 50
Breast Cancer Screening Every 1-2 years based on standard risk Beginning at age 40

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Understand the difference between preventive care and diagnostic care.

Preventive care is designed to help you stay healthy, and is covered by most health plan’s with $0 out-of-pocket when you see a network provider.

Costs may be incurred for diagnostic care based on plan coverage.

Preventive Care

Preventive care includes routine well exams, screenings, and immunizations intended to prevent or avoid illness or other health problems.

Diagnostic Care

Diagnostic care includes care or treatment when you have symptoms or risk factors and your doctor wants to diagnose them.

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* Certain preventive care services are covered without cost sharing by many plans as specified by the Patient Protection and Affordable Care Act (ACA). These services are based on your age and other health factors. UnitedHealthcare also covers other routine services that may require a copay, coinsurance or deductible.  Always refer to your plan documents for your specific coverage.

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