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Prevention and Early Detection

Overview

  • TI medical insurance plans provide 100 percent coverage for periodic preventive health office visits, screening tests and immunizations recommended for your age and gender.
  • No copay, coinsurance or deductibles apply.
  • Covered services include evidence-based services rated A or B in the current recommendations of the U.S. Preventive Services Task Force and the childhood vaccines recommended by the Centers for Disease Control and Prevention.
  • For more details, refer to the Health and Insurance Benefits Guide in the left navigation column of this page.

Cigna Copay Plan and regional HMOs
Preventive health services are also covered 100 percent under the Cigna Copay Plan and the regional HMOs offered by TI. The list of covered services may vary slightly, so contact your insurance carrier's customer service department for details, using the contact numbers on your insurance ID card.

Preventive health care is designed to help you take an active role in managing your health and well-being. Targeted preventive care services help detect risks and health problems early, when they are easiest to treat.

Blue Cross Blue Shield PPO and HDHP coverage
Preventive services and the recommended frequency are specified in the chart below. If you have questions about diagnosis and procedure codes associated with these services, please call Blue Cross Blue Shield using the contact number on your insurance ID card.

NOTE: No copay, coinsurance or deductibles apply, as long as the diagnosis is routine; if billed as "diagnostic" the procedure/service will be subject to deductible/coinsurance.

If you use a non-network provider: If you receive preventive services from a provider outside the Blue Cross Blue Shield network, the service will be covered at 100 percent of the allowable amount.

In Dallas? Use the Baylor Occupational & Family Health Center
For those in the Dallas area, the Baylor Occupational & Family Health Center at Texas Instruments is available for various screenings and tests. Some of their services include male health screenings, well-woman exams, and flu immunizations. For more information or to schedule an appointment, please call 972-671-9504.

Preventive services covered by Blue Cross Blue Shield HDHP and PPO, 2017
Recommendations are based on national preventive guidelines.

Preventive Health
Office Visit

Ages
Covered

Recommended
Frequency

Gender

M

F

Health History & Lifestyle Counseling

18 and older

Annually

X

X

Blood Pressure Check

18 and older

Annually

X

X

Hearing Loss Screening

18 and older

Annually

X

X

Falls prevention in the form of exercise or physical therapy

Community-dwelling adults age 65 and older

Once only

X

X

Cancer Screen Exams (visual and/or palpation)

- Digital Rectal

40 and older

Annually

X

X

- Testicular

18 and older

Annually

X

 

- Vaginal and Cervical

18 and older

Annually

 

X

Screening Tests

Ages
Covered

Recommended
Frequency

Gender

M

F

Breast Cancer Screen
(screening mammogram)

35 and older

Annually

 

X

Genetic Risk Assessment and BRCA Testing for Breast and Ovarian Cancer

Any woman with increased family history risk

Once only

 

X

Human Papillomavirus (HPV) DNA test

30 and older

Every 3 years

 

X

Bone Density Screening for Osteoporosis

65 and older
        or
50 and older if at
increased risk

Annually

Every 2 years

 


X

Colonoscopy (including prescription preparation)

50 and older

Every 10 years

X

X

EKG

35 and older

Once only

X

X

Screening for Abdominal Aortic Aneurysm

65 to 75
who ever smoked

Once only

X

 

Fasting Glucose

18 and older

Annually

X

X

Flexible Sigmoidoscopy

50 and older

Every 5 years

X

X

Screening for Type 2 Diabetes for those with high blood pressure

18 and older

Annually

X

X

Screening for abnormal blood glucose as part of cardiovascular risk assessment

40 to 70 who are overweight or obese

Every 3 years

X

X

Screening for high blood pressure outside of the clinical setting

18 to 39 with normal blood pressure

40 and older; and persons at increased risk for high blood pressure

Every 3 to 5 years

Annually

X

X

Papanicolaou (Pap) Test
(including Thin Prep™ and HPV testing)

18 and older

Annually

 

X

Prostate Specific Antigen (PSA)

50 and older

Annually

X

 

Testing for Chlamydia, Gonorrhea and Syphilis

18 and older, and
sexually active

Annually

X

X

Screening for HIV

18 and older for those
at increased risk

At least annually

X

X

Colorectal cancer screening -- Stool Blood Test

50 and older

Annually

X

X

Blood Count

18 and older

Annually

X

X

Lipid Panel (tests for Total, HDL and LDL Cholesterol and Triglycerides)

18 and older

Annually

X

X

Urinalysis

18 and older

Annually

X

X

Screening for Alcohol Misuse

18 and older

Annually

X

X

Screening for Depression

18 and older

Annually

X

X

Screening for Hepatitis B

18 and older for those with high risk of infection

Periodically

X

X

Screening for Hepatitis C

18 and older for those with high risk of infection

Adults born between 1945 and 1965

Periodically

One-time screening

X

X

Screening for Lung Cancer for smokers

55 to 80

Annually, until 16 years after smoking cessation

X

X

Screening for Obesity

18 and older

Annually

X

X

Tobacco cessation counseling

18 and older

As needed

X

X

Pregnancy Screenings

 

 

 

 

Hepatitis B Screening

 

First prenatal visit

 

X

Urine Culture

 

12 to 16 weeks gestation or at the first prenatal visit, if later

 

X

Gestational diabetes screening

 

24 to 28 weeks gestation and those at high risk

 

X

Anemia screening for iron deficiency

 

During pregnancy

 

X

Rh(D) Incompatibility

 

First prenatal visit, repeated for any unsensitized Rh(D) negative at 24-28 weeks' gestation

 

X

Primary care interventions to promote breastfeeding (including manual breast pump and some electronic breast pumps)

 

During and after delivery

 

X

Syphilis Screening

 

During pregnancy

 

X

Tobacco cessation counseling

 

During pregnancy

 

X

Immunizations*

Ages
Covered

Recommended
Frequency

Gender

M

F

Flu Vaccine

18 and older**

Annually

X

X

Human Papillomavirus (HPV) vaccine (Gardasil®, for example)

18 to 26

One series

X

X

Hepatitis A

18 and older

One series

X

X

Hepatitis B

18 and older

One series

X

X

Measles/Mumps/Rubella (MMR)

18 and older

One series

X

X

Meningococcal

18 and older

One series

X

X

Pneumococcal

65 and older

One series

X

X

Rubella

18 and older

Once only

X

X

Shingles vaccine (Zostavax®, for example)

60 and older

Once only

X

X

Diphtheria/Tetanus/Pertussis

18 and older

Every 10 years

X

X

Herpes Zoster

18 and older

One series

X

X

Varicella Zoster
(Chicken Pox)

18 and older

One series for those not
previously immunized

X

X

* Immunizations can also be obtained at no cost through CVS Caremark's in-network pharmacies (subject to availability). Certain immunizations, through any pharmacy, may require a physician's prescription.
** Flu vaccine provided for dependents ages 0 to 18 under the Well-Baby, Well-Child Care benefits.

Women's Health Preventive Services

The Blue Cross Blue Shield HDHP and PPO options provide coverage of FDA-approved contraceptive methods including, but not limited to, barrier methods, hormonal methods and implanted devices. Contraceptive methods that are generally available over-the-counter are covered if the method is both FDA-approved and prescribed for a woman by her health care provider. Contraception for men is not covered. One hundred percent of the total cost of a generic contraceptive drug is covered without cost-sharing. If, however, a generic version is not available, or would not be as medically appropriate for the patient as a prescribed brand name contraceptive method (as determined by the attending provider, in consultation with the patient), then coverage is provided without cost-sharing, subject to reasonable medical management. (See the Health and Insurance Benefits Guide for further details.)

Services as prescribed by a health care provider related to patient education and counseling, follow-up and management of side effects of FDA-approved contraceptive methods, counseling for continued adherence, and device removal are covered. These services are covered without cost-sharing, subject to reasonable medical management.

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  Web page revisions made March 2017.
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