Transcription of Preventive Services Policy - BCBSIL
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Preventive Services Policy - BCBSIL
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association If a conflict arises between a Clinical Payment and Coding Policy ( CPCP ) and any plan document under which a member is entitled to Covered Services , the plan document will govern. If a conflict arises between a CPCP and any provider contract pursuant to which a provider participates in and/or provides Covered Services to eligible member(s) and/or plans, the provider contract will govern. Plan documents include, but are not limited to, Certificates of Health Care Benefits, benefit booklets, Summary Plan Descriptions, and other coverage documents.
ertain preventive care services may be considered eligible for coverage under the member [s benefit plan as required by PPACA and/or an applicable state mandate. In general, these services include, but are not limited to, screenings, immunizations, and other types of care as recommended by the United States Federal Government.
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