Page 14 - Scene Magazine 42-02 February 2017
P. 14

For Our Health
Are you taking advantage of the Prevention and Wellness Benefits offered through your health plan benefits?
Most preventive services are paid at 100% by the health plan on an annual basis, no copays or deductible to be paid out of your pocket by you the consumer! It is a good time to check the “Summary of Benefits Coverage” of your health plan and discover the exact benefits available to you including immunizations and screenings.
Here is a list of those benefits offered by most employer health plans or individual health plan instituted by the Patient Pro- tection and Affordable Care Act of 2010:
Adult Screenings (this list is not the en- tire list of services available):
• Blood Pressure Screening- keep arteries
healthy by knowing how hard your heart is working to pump blood through your arteries.
• Cholesterol Screening – keep your arteries healthy by measuring if there is too much of this waxy substance which can build up overtime in the arteries potentially hindering blood flow.
• Colorectal Cancer Screening – Ages 50-75 –frequency of screenings de- pends on which screening test is used.
Colonoscopies are generally covered every 10 years. Other tests are done more frequently. Talk with your doctor to determine which test is right for you and how often it is needed depending on you and your family history.
• Depression Screening – Depression is an illness that affects the brain and it is more than being sad for a few days. Mild depression can become more serious if not treated. Depression is treatable; talk with your doctor.
• Type 2 Diabetes Screening for people with High Blood Pressure – Managing your weight, eating healthy, staying ac- tive can help prevent and delay diabetes.
• Diet Counseling – for adults with higher risk for chronic disease.
• HIV Screening – for all adults at higher risk.
• Immunization vaccines for adults – doses for recommended ages and populations vary:
- Hepatitis A
- Hepatitis B
- Herpes Zoster (Shingles)
- Human Papillomavirus (HPV)
- Influenza (flu shot)
- Measles, Mumps, Rubella
- Meningococcal Disease (Meningitis) - Pneumococcal Disease (Pneumonia) - Tetanus, Diphtheria, Pertussis
(Whooping Cough) -Varicella (Chicken pox)
• Breast Cancer Screening – Mammog- raphy Screenings every 1-2 years for women over 40.
• Cervical Cancer Screening – at least once every three years for women between 30- 65 years.
• Contraception – approved contraceptive methods are covered.
• Folic Acid – Supplements for women who may become pregnant.
• Osteoporosis Screening – Women over 60 depending on risk factors.
• Tobacco Use Screening – and interven- tions check plan availability.
• Well Woman Visits - includes a full check-up separate from any other visit for sickness or injury. These visits focus on preventive care for women and may in- clude immunizations, screenings and coun- seling for topics mentioned previously.
Children Preventive Services include: autism screening, behavioral assessments, depression screening, hearing, vision, height, weight and body mass index (BMI), hemoglobin screening, and immunizations. There are 26 covered preventive services for children, please reference the details at
Medicare Preventive Services – many of the preventive services are available with frequency limits if you are enrolled in Part B services with some of the immunizations listed previously. For specific details on how these services apply to you, visit: Medicare. gov/your Medicare coverage/preventive and screening services.
Learn more about all preventive health care at & fea- tures/Fact Sheets/The affordable care Act & Immunization, search adults, women or children.
These benefits are available to help you stay healthy! Call your doctor today for a wellness visit appointment. Take the time to invest in yourself for your healthy future.
Disclaimer: These benefits are available for 2017 plans. While there are rumors of change for upcoming plan years with the new administration, no definitive changes to preventive ser- vices for 2017 have been declared at the writing of this article.
Karen Rial, Agent Sales Manager, Partners Insurance Agency of Southwest Michigan, Inc.
269-425-7110 Fax: 269-425-7160
Commerce Pointe:
77 E. Michigan Ave.,
Suite 200 Battle Creek, MI 49017
Our physicians are
serious about helping their patients in Calhoun County get help with chronic disease management. Over the past several years, IHP physicians have increased the number of diabetic patients who received retinal exams, lab tests, foot exams, and microalbumin testing.
Our disease management registry will help identify anyone with one of
several chronic diseases
and assist physicians in assuring the patient receives all of the appropriate care. Our physicians are improving the health of their patients throughout Calhoun County, one person at a time.
ur Doctors HelpYou Manage Your Chronic Disease

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