Are routine visits included?

Routine visits or wellness visits are eligible for sharing.

Wellness Visits and Diagnostic tests are eligible for sharing as follows: (Both the annual/well office visit and $150 lab allowance are shared at 100% and not subject to the PRA or co-share.)

One annual/well office visit for members 6 years and older per membership year, and includes $150 allowance to be used towards any of the labs listed below.

    •    Complete Blood Count with Differential and Platelets

    •    Comprehensive Metabolic Panel

    •    Lipid Profile with Lipoprotein Particle Assessment

    •    Hemoglobin A1C

    •    Vitamin D-25 OH

    •    C-Reactive Protein

    •    Fecal Occult Blood Test

    •    Pap Smear

    •    PSA

Members under the age of 6 receive one annual visit shared at 100%. Additional visits will follow routine well-child guidelines as dictated by the American Academy of Pediatrics.