Preventive Care Services - Cigna

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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).

screening, double contrast barium enema for colorectal cancer screening, digital breast tomosynthesis for breast cancer screening, and venipuncture associated with preventive laboratory screenings are covered under the benefit as preventive care services. Professional society statements and guidelines may vary and are not

  Cigna, Tomosynthesis