By Dale R. Folwell, CPA
State Treasurer of North Carolina
The only thing that beats a happy new year is a healthy new year! The State Health Plan offers many preventive care services and medications at no cost to members. Plan members can start their year off right by taking advantage of all the preventive care benefits available to them on all the options the State Health plan offers, including the Base PPO Plan (70/30), Enhanced PPO Plan (80/20), and Humana Medicare Advantage plans.
Preventive care is routine health care that includes screenings, checkups, and patient counseling to help prevent illnesses or disease. Preventive care is covered at 100% when it is provided by an in-network provider, when the claim is filed as a preventive visit, and when services are identified as preventive care under the Affordable Care Act. Examples include mammograms, preventative colonoscopies, and immunizations. There may be exceptions, so it’s important to know what qualifies as preventive care, as well as what questions to ask your provider to avoid extra costs. Good questions to ask include:
- Will any additional tests, labs, or treatments I get during my appointment not be considered preventive care?
- Will talking about other topics that are not considered preventive care during my appointment lead to out-of-pocket costs?
For members enrolled in Humana Medicare Advantage Plans, your coverage includes additional benefits, such as the SilverSneakers® fitness program—free of charge—and the Go365 wellness and rewards program, which offers personalized activities, tracking, support, and rewards to keep your health top of mind. To learn more about SilverSneakers and other preventive benefits, visit Humana’s website at Your.Humana.com/ncshp.
These great benefits mentioned above are all part of the Humana Base Medicare Advantage Plan, which is offered to plan members for a $0 premium with Medicare-eligible spousal coverage for just $4 a month, all at no cost to taxpayers. For more information, members are encouraged to visit the State Health Plan’s website at SHPNC.org.