Preventive Care Services - Cigna
Page 1 of 28 Administrative Policy: A004 Administrative Policy Effective 04/15/2018 Next Review Date ..................................... 01/15/2019 Administrative Policy Number ......................... A004 Preventive care Services Table of Contents Administrative Policy ........................................ ... 1 Wellness Examinations - General Description ..... 3 Frequency of Wellness Examinations .................. 3 Preventive care Services that may be provided during a Wellness Examination ......... 3 Preventive care Screenings and Interventions (Note: some Services may be provided as part of a wellness examination or at a separate encounter).
Coverage for preventive care services other than those mandated by ACA is dependent on benefit plan language. For example, many benefit plans specifically exclude immunizations that are for the purpose of travel or to protect against occupational hazards and risks. Please refer to the applicable benefit plan language to determine benefit
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