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Anthem Lumenos Health Plans - Indiana

 

Anthem Blue Cross and Blue Shield - Lumenos
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Anthem Lumenos Preventive Care Summary

Anthem’s Lumenos® plans cover preventive services recommended by the U.S. Preventive Services Task Force, the American Cancer Society®, the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Pediatrics. The Preventive Care benefit includes screenings, immunizations and other services to detect medical conditions in advance and keep you healthier in the long run.

Anthem's Generous Benefits

To encourage consumers to receive the appropriate preventive services, these services are covered at 100% when received from an in-network provider.  Plan deductibles and health account dollars do not apply to these services.  If preventive care services are provided by an out-of-network provider, then the plan deductible and out-of-network coinsurance responsibility will apply, and health account dollars may be used to cover these costs.

To allow doctors to prescribe the preventive care services appropriate for the individual consumer, frequency and age restrictions do not apply to these preventive care services.

Following is the list of covered preventive care services:

Adult Preventive Care

Office Visits

Screening Tests including the following:
  • Eye chart vision screening (Full vision exams not included)
  • Hearing screening
  • Cholesterol and Lipid level screening
  • Blood Glucose test to screen for Type II Diabetes
  • Prostate Cancer screenings including Digital Rectal Exam and PSA test
  • Breast exam and Mammography screening
  • Pelvic exam, Pap test and contraceptive management for females
  • Screening for sexually transmitted diseases
  • HIV test
  • Bone Density test to screen for osteoporosis
  • Colorectal Cancer screening including Fecal Occult Blood test, Barium Enema, Flexible Sigmoidoscopy and screening Colonoscopy
  • Routine Blood and urine screenings
Immunizations:
  • Hepatitis A
  • Hepatitis B
  • Tetanus, Diphtheria (Td)
  • Varicella (chicken pox)
  • Influenza (flu shot)
  • Pneumococcal Conjugate (pneumonia)
  • Humana Papilloma Virus (HPV)
  • Measles, Mumps, Rubella (MMR)
  • Meningococcal Polysaccharide
  • Herpes Zoster (shingles)

Well Baby and Well Child Preventive Care

Office Visits

Screening Tests including the following:
  • Eye chart vision screening (Full vision exams not included)
  • Hearing screening
  • Screening for lead exposure
  • Pelvic exam, Pap test and contraceptive management for females
Immunizations:
  • Hepatitis A
  • Hepatitis B
  • Diphtheria, Tetanus, Pertussis (DtaP)
  • Varicella (chicken pox)
  • Influenza (flu shot)
  • Pneumococcal Conjugate (pneumonia)
  • H.Influenza type b
  • Polio
  • Measles, Mumps, Rubella (MMR)
  • Meningococcal Polysaccharide
  • Rotavirus

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