earn points toward health rewards
Getting your preventive care is a qualifying activity you can do to earn points toward health rewards.
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).
benefit coverage for the COVID-19 vaccine
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
- Vision exam
- Dental cleanings
flu shot resource
To learn about the flu shot options available to you, go to our 2020/2021 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. Learn more about immunizations and preventive services covered by the Affordable Care Act.
is my flu shot covered by my prescription drug plan?
- The influenza vaccine must be received from an Express Scripts network pharmacy. Locate a network pharmacy here.
- Not all pharmacies offer flu shots. Be sure to contact your local network pharmacy to verify flu shots are available and if an appointment is required.
- You’ll need to present your Express Scripts ID card at the time of service.
- The influenza vaccine administered must be on the Express Scripts National Preferred Formulary and can be delivered in either the injectable or intranasal form.
- Covered influenza vaccines will be paid at 100 percent of the Network Price with no copayment/coinsurance and no deductible.
- This coverage applies to you and any eligible dependents enrolled in your Chevron medical coverage.
- Read the official plan change document - or SMM - for Medical PPO, HDHP, HDHP Basic
- Express Scripts National Preferred Formulary
medical HMO plan and expatriate prescription drug coverage
- Read the official plan change document - or SMM - for the Global Choice plans
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)
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. It’s important to use a network provider because that’s the only way your plan will provide 100 percent coverage. Here are links to find a network provider online, or you can simply contact your health plan directly.
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.
get dental preventive care, avoid a surcharge
Covered preventive dental services are 100 percent paid by your plan, with no deductible or copayment when you use a network provider. If you are enrolled in the Chevron Dental PPO Plan or the Chevron Dental HMO Plan, you’re encouraged to take steps to protect your health and receive at least one preventive dental cleaning* between January 1 and December 31 each year. If you do not participate in this preventive care measure annually, you will pay $120 more for your annual Chevron dental plan premium in the next year. It’s still your choice to receive a cleaning or not, but if you choose to participate, you’ll save money and you’ll be doing something good for your health. Learn more about the dental surcharge.
* For participants with dentures, receive at least one oral exam in lieu of a cleaning.