![]() (To check your preventive care benefits, call your health plan’s member service line-typically listed on the back of your health insurance card.)īut you may have to pay something for diagnostic care. Most health plans cover preventive care at no cost, with the exception of plans that have grandfathered status. Some of the tests ordered that day may be preventive (such as a screening mammogram) and others may be diagnostic (such as a blood sugar test for a diabetic). ![]() This may include an office visit, tests, or treatments.ĭiagnostic and preventive care may occur during the same visit.įor example, you may have a checkup during which your doctor discusses a chronic illness you have. Preventive care includes services such as checkups, screening tests, and immunizations-care that you get when you’re symptom-free and have no reason to believe you might be sick.ĭiagnostic care is what you get when you have symptoms of an illness or injury or are being followed for a chronic condition, and your doctor wants to diagnose or monitor the condition. Insurance companies tend to view patient care in two buckets: Preventative care and diagnostic care. But it’s wise to check with your insurance company before a medical appointment if you have any questions on what’s covered and what isn’t.) Preventative care vs. (A quick caveat: The information below applies to most health insurance policies. One common question revolves around what is and is not covered during annual physicals. Healthcare costs and the bills you receive can be confusing. ![]()
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