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Preventive Care Services
The preventive care services covered at 100% in-network are determined by your health care company based on guidelines and clinical recommendations developed for the general population by the U.S. Preventive Services Task Force, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention, and other nationally recognized sources. JPMorgan Chase does not make this determination. For a list of preventive services that are covered at 100%, go to your health care company's website. Age and frequency limits apply. Please contact your health care company for further information.
These services generally include:
  • Routine care including:
    • PAP tests (one per year, includes related laboratory fees);
    • Prostate exams (one exam per year);
    • Flexible sigmoidoscopy (one baseline screening, and one follow-up screening every five years;
    • Screening colonoscopy (one baseline screening and one follow-up screening every five years);
    • Fecal occult blood test (one test per year);
    • Routine physical exams (one office visit per year with appropriate laboratory and radiology services);
    • Mammography screenings (one mammogram per year);
    • Routine screenings during pregnancy (for example for gestational diabetes and bacteriuria);
    • Breast pumps (please contact your health care company for details about which breast pumps are fully covered);
    • Travel immunizations; and
    • Well-child/adult care office visits (plus immunization and labs):
      • Birth to age 12 months: seven exams
      • Age 13-24 months: three exams
      • Age 25-36 months: three exams
      • Age 3 and over: one exam per year
This list is subject to change at any time.
Please Note: An in-network medical service will only be covered at 100% if it is coded as preventive. Before receiving any services, you should check with your physician to be sure a procedure is considered and will be submitted to the claims administrator, as preventive medical care rather than as a diagnostic service.