Preventive Screenings at no cost to you

GE Health Benefits | September 2013 1

Preventive Screenings at no cost to youCovered at 100% in-network, not subject to deductibleCancer ScreeningsBreast Cancer: MammographyCervical Cancer: Laboratory TestingColon Cancer: Colonoscopy, Sigmoidoscopy and associated laboratory tests, e.g. biopsyProstate Cancer: Digital Rectal Exam and Antigen (PSA) testBreast Cancer Susceptibility Gene (BRCA) CounselingBreast Cancer Susceptibility Gene (BRCA) Genetic Testing, when medically appropriate (1/1/14)

Annual Adult Physicals and Routine Gynecological CarePhysical ExaminationsRoutine Gynecologic ExaminationsPrimary Preventive Counseling Electrocardiogram Obesity ScreeningOsteoporosis Screening Abdominal Aortic Aneurysm Screening

Pediatric Prevention through age 21Well Child Care visitsScreening tests - Newborn Hearing - Annual vision - Developmental Screening (condition restrictions apply) - Major Depressive Disorder Screening

Blood/urine and other laboratory tests to screen for the following:Rh IncompatibilityLipid Disorder – Cholesterol, lipoprotein, and triglyceridesBacteruria (For pregnant women only)Chlamydial InfectionGonorrheaHIVSyphilis InfectionHPV Detection Diabetes Type IIIron Deficiency Anemia Sickle Cell Disease Lead

Immunizations and tobacco cessationInfluenza (i.e. H1N1)DTaP (Diphtheria, tetanus, pertussis)Hepatitis AHepatitis BHib (Haemophilus Influenzae Type b)Human Papilloma-virus (HPV)Meningococcal Conjugate (MCV) or Polysaccharide (MPSV)MMR (Measles, mumps and rubella)Pneumococcal polysaccharide (PPSV) PolioRotavirus (RV)TetanusVaricella (Chickenpox)Zoster (Shingles)Counseling for Tobacco Use and prescribed generic (including OTC) tobacco Cessation products for adults. Chantix Included.

Women’s Preventive CareFDA approved contraception devices – including Insertion/removalContraception – Sterilization proceduresPrescribed FDA approved generic contraceptives (including OTC) and contraceptive counseling (1/1/14) Does not include abortifacient drugs. Breast feeding supplies (breast pump), support and lactation counselingPrenatal care office visits

Age, gender, condition and medicalnecessity restrictions may apply. Seebenefit administrator for details