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Does managed care insurance cover health screenings and preventive care?

Dr. Michael Roizen, MD
Internal Medicine

As with almost anything in life…it depends. Depending on the type of insurance you have -- HMO, PPO or POS --the insurer may pay for all or a portion of the following screenings and preventive care:

- annual physicals and health screenings

- complete blood count (CBC)

- blood tests to check for abnormal cholesterol

- blood glucose tests to check for diabetes

- blood pressure checks

- immunizations for kids and adults

- cancer screenings (mammography, PAP smear, PSA test, colonoscopy)

But you’ll have to invest in a set of quality magnifying glasses and scrounge up every ounce of patience you have, to find the details of what is covered in your Summary Plan Description (SPD) or over the phone from your insurance provider. It’s worth the effort, though. After all, like our good friend Ben Franklin said, “An ounce of prevention is worth a pound of cure.”

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.