COMP-CARE

ENHANCED PREVENTIVE CARE SERVICES

Benefits paid at 100% maximum allowance, no deductible

PHYSICAL EXAMS NUMBER AND FREQUENCY OF EXAMS

Newborn Initial hospital care

Birth to Age 1 7 office exams

Age 1 through 5 6 office exams

Age 6 through 10 3 office exams – one every 2 years

Age 11 through 21 1 office exam per calendar year

Age 22 through 29 3 office exams – one every 4 years

Age 30 through 39 4 office exams – one every 3 years

Age 40 through 49 5 office exams – one every 2 years

Age 50+ 1 office exam per calendar year

Standard screening tests performed as a necessary part of the physical

exam and standard immunizations are covered.

SCREENING TESTS

Children

Blood lead screening

Adults

Gynecological exam &

Pap Test

Total serum cholesterol

Mammogram

Prostate Specific Antigen test

& digital rectal exam

This is only a summary of benefits. If there are any discrepancies between this comparison and the certificate,

the certificate will govern.

R2/02 CC PREVCARE ON ACES NO OV COPAY