preventive care
get recommendations
This Anthem tool provides guideline recommendations for preventive care screenings and vaccines for Medical PPO, HDHP and HDHP Basic participants. Use these recommendations to talk further with your doctor.
Preventive care is an investment in your health. When you spot a disease or illness early through preventive care, the outcomes may be improved and the cost for treatment may be reduced. And in some situations, early detection and lifestyle changes can prevent the disease entirely. This means you enjoy better health and we all save money.
Your Chevron health plans cover a variety of important preventive screenings and services. All plans include 100 percent coverage with no copayment, coinsurance or deductible for certain preventive care services, as specified by the Affordable Care Act, when you see a network provider.
If you're enrolled in a Chevron medical and dental plan, you're eligible for certain basic exams, regardless of your age or gender. Annually, all participants can receive:
- A physical exam that includes your height, weight and blood pressure and other preventive services based on your age and gender (medical plans).
- A comprehensive eye exam including dilation as needed (basic vision coverage).
- Two routine dental cleanings and some x-rays (bitewings) per year. Pregnant participants are eligible for three cleanings (dental plans).
All Chevron health plans generally use the U.S. Preventive Services Task Force and other similar guidelines to determine the evidence-based recommended screenings and frequency that are covered under the plan. Ask your doctor about which screenings you may need and the frequency for screenings. Common screenings and services covered - depending on personal factors such as your age and gender – include:
- Cholesterol screening
- Breast cancer screening
- Cervical cancer screening
- Prostate cancer screening
- Colon cancer screening
- Immunizations (including a flu shot and the COVID-19 vaccine)
- Vision exam
- Dental cleanings
Medical plans currently provide coverage for preventive care services as required by the Patient Protection and Affordable Care Act and in accordance with guidelines based on recommendations from nationally recognized organizations, such as the U.S. Preventive Services Task Force. Your health plan now also covers COVID-19 immunizations.
Medical PPO Plan
- Prescription Drug Program: Coverage for certain immunizations (February 15, 2021)
- Medical coverage: Temporary extension of coverage for out-of-network COVID-19 immunizations (December 11, 2020)
- Medical coverage: COVID-19 testing and treatment, preventive services (immunizations); Online visit coverage extended (March 27, 2020)
High Deductible Health Plan (HDHP)
- Prescription Drug Program: Coverage for certain immunizations (February 15, 2021)
- Medical coverage: Temporary extension of coverage for out-of-network COVID-19 immunizations (December 11, 2020)
- Medical coverage: COVID-19 testing and treatment, preventive services (immunizations); Online visit coverage extended (March 27, 2020)
High Deductible Health Plan Basic (HDHP Basic)
- Prescription Drug Program: Coverage for certain immunizations (February 15, 2021)
- Medical coverage: Temporary extension of coverage for out-of-network COVID-19 immunizations (December 11, 2020)
- Medical coverage: COVID-19 testing and treatment, preventive services (immunizations); Online visit coverage extended (March 27, 2020)
Global Choice Plans
- Prescription Drug Program: Coverage for certain immunizations obtained from a U.S. pharmacy (February 15, 2021)
- For medical coverage and prescription drugs obtained outside the U.S., contact Cigna directly
Chevron Medical HMO Plans
- If you're enrolled in a Chevron Medical HMO plan, contact your HMO plan directly for specific information about your COVID-19 vaccine benefit coverage.
flu shot resource
To learn about the flu shot options available to you, go to our flu shot resource page.
is my flu shot covered by my medical plan?
An influenza vaccine – or a flu shot – is considered preventive care by the Affordable Care Act. This means your medical plan, whether a Chevron plan or a plan from another source, should provide 100 percent coverage for the flu shot with no deductible, copayment or coinsurance, if you see a network provider. There are some restrictions around doses, recommended ages, and recommended populations, so it’s always a good idea to check with your medical plan before you go.
is my flu shot covered by my prescription drug plan?
Due to the COVID-19 pandemic in 2020, Chevron added new benefit coverage for the Prescription Drug Program with Express Scripts* that makes it easier to get a flu shot when and where it’s convenient for you.
- Coverage effective February 15, 2021 for Medical PPO, HDHP, HDHP Basic
- Coverage effective February 15, 2021 for the Global Choice plans
medical HMO plan and expatriate prescription drug coverage
- If you are enrolled in a Chevron Medical HMO Plan, contact your Medical HMO directly for information about flu shot coverage under your plan.
- If you are an expatriate enrolled in the Global Choice Plan, remember that the Prescription Drug Program coverage applies only to flu shots received from a pharmacy inside the U.S. For information about flu shot coverage outside the U.S., contact Cigna directly.
*When you enroll in the Medical PPO Plan, the High Deductible Health Plan (HDHP) or the High Deductible Health Plan Basic (HDHP Basic), you are also automatically enrolled in prescription drug coverage through the Prescription Drug Program with Express Scripts. This change applies to the Prescription Drug Program for participants in the Medical PPO Plan, the HDHP and the HDHP Basic. If you are enrolled in the Global Choice Plan, you are also covered by the Prescription Drug Program for prescriptions obtained inside the U.S.
The Chevron High Deductible Health Plan (HDHP) and the Chevron High Deductible Health Plan Basic (HDHP Basic) also include coverage for preventive care for certain chronic conditions, as follows:
- Preventive care for chronic conditions (January 1, 2020)
- Prescription Drugs: Preventive care for chronic conditions (January 1, 2020)
- Prescription Drugs: Coverage for preventive medications (January 1, 2018)
If you see an out-of-network provider (if allowed by your plan) you’ll typically pay a percentage of maximum allowable amounts and the annual medical deductible will apply.
- Ask before you go. Before getting care, it's a good idea to contact your health plan to confirm which of your doctor's recommendations are covered under your plan. Also, ask if you have any out-of-pocket costs for the visit, based on your personal situation.
- Coding counts. Ask your doctor to code the visit as "preventive" to ensure your health plan accurately applies the visit to your preventive care benefit. If your visit isn't coded as preventive, you may not receive the maximum reimbursement available under your plan.
- Reimbursement of expenses. Money you spend out-of-pocket for a preventive screening is an eligible expense under the Health Care Spending Account (HCSA) Plan or a health savings account (HSA) if you're enrolled at the time you incur the expense.
- Use a network provider. It’s important to use a network provider because that’s the only way your plan will provide 100 percent coverage.
* For participants with dentures, receive at least one oral exam in lieu of a cleaning.
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