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Preventative Services

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In-network routine preventive care services and the related office visit for routine preventive care services are covered at 100%. Services must be billed with a primary diagnosis of preventive to be covered at 100%. For example, if your doctor suggests a pelvic or prostate exam because of your age, that’s preventive care. But if your doctor suggest a test to see what is causing your symptoms, that’s diagnostic care and you may need to pay part of the costs.