Preventive Care Services
Medical services will only be covered as preventive care if they are 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 Cigna Global Health Benefits, as preventive medical care rather than as a diagnostic service.
Preventive care services covered at 100% are determined by Cigna Global Health Benefits 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.
Preventive care services received outside the U.S. or in-network in the U.S. are covered at 100% by the Expatriate Medical Plan. Preventive care services received out-of-network in the U.S. are covered at 60% after you and/or your covered dependent(s) have satisfied the per-person out-of-network deductible
The list of preventive care services, which is subject to change at any time, generally include:
- Routine care including:
- PAP tests (one per year, includes related laboratory fees);
- Prostate exams (age 40 and over, one exam per year);
- Flexible sigmoidoscopy (age 50 and over, one baseline screening, and one follow-up screening every five years);
- Screening colonoscopy (age 50 and over, one baseline screening and one follow-up screening every five years);
- Fecal occult blood test (age 50 and over, one test per year);
- Routine physical exams (office visit with appropriate laboratory and radiology services);
- Mammography screenings (age 40 and over, one mammogram per year);
- Routine screenings during pregnancy (e.g., for gestational diabetes and bacteriuria);
- Breast pumps (please contact your health care company for details regarding which breast pumps are fully covered); and
- Well-child/adult care office visits (plus immunization and labs):