Medical Benefits for 2023
Understanding the full value of covered benefits allows you to take responsibility for maintaining good health and incorporating healthy habits into your lifestyle. Some examples include getting regular physical examinations, mammograms and immunizations. Through the plans offered by NY Kids Club , all covered individuals and family members are eligible to receive routine wellness services like these, at no cost; all copays, coinsurance, and deductibles are waived.
WHICH PREVENTIVE CARE SERVICES ARE COVERED?
The US Preventive Services Task Force maintains a regular list of recommended services that all Affordable Care Act (i.e., Health Care Reform) compliant insurance plans should cover at 100% for in-network providers. Below is a list of common services that are included in the plans offered this year:
› Routine Physical Exam › Well Baby and Child Care › Well Woman Visits › Immunizations › Routine Bone Density Test › Routine Breast Exam › Routine Gynecological Exam
› Screening for Gestational Diabetes › Obesity Screening and Counseling › Routine Digital Rectal Exam › Routine Colonoscopy › Routine Colorectal Cancer Screening › Routine Prostate Test
› Routine Lab Procedures › Routine Mammograms
› Routine Pap Smear › Smoking Cessation
“An ounce of prevention is worth a pound of cure”
› Health Education/Counseling Services › Health Counseling for STDs and HIV › Testing for HPV and HIV › Screening and Counseling for Domestic Violence
This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations, and exclusions set forth in each insurance carrier or provider’s contract.
2023 Employee Benefit Guide
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