Wellness

Does the Wellness Benefit cover out-of-network services?

No. The Wellness Benefit requires the use of TeamCare providers. To find a network provider, select Find a Provider.

Are Department of Transportation (DOT) physicals covered under my Wellness Benefit?

No. Since this is an employer requirement, your employer is obligated to provide and pay for the physical.

What is an Executive Exam and is it covered under my plan?

This is a comprehensive exam offered by medical facilities that includes multiple preventive screening tests and examinations, risk and lifestyle assessments and nutritional counseling. It is a non-covered benefit under the Plan.

How often can I have a Wellness visit?

All Wellness Benefits are subject to review for appropriateness. The generally accepted practice is an annual wellness exam. Note: a TeamCare in-network provider must be used.

Will TeamCare pay for two office visits (one routine and one sick) on the same day for the same doctor?

Yes, however, you may have to pay a co-payment. Please refer to your Plan Benefit Profile for specific coverage (Forms and Documents or your Participant Dashboard).

Does the Wellness Benefit include HIV testing and screening for sexually transmitted diseases (STD’s)?

Yes. TeamCare will cover HIV testing and screenings for STD’s under the Wellness Benefit.

How is a Bone Density Test covered?

Wellness: A preventive Bone Density Test is covered under the Wellness Benefit.

Medical Diagnosis: A Bone Density Test is paid according to your plan’s Diagnostic Benefit.

Is the Rotavirus vaccine covered?

Yes. This vaccine is covered at 100% for eligible children until they reach age 26.

How is the Women’s Health Benefit covered under my plan?

The Women’s Health Benefit provides coverage toward an annual physical examination, Pap test, and mammogram as prescribed by your physician. Please refer to your Plan Benefit Profile for specific coverage amounts under your Plan.

Does TeamCare cover a colonoscopy?

Wellness: A preventive colonoscopy is covered under the Wellness Benefit and includes the surgery, facility and pathology charges.

Medical Diagnosis: A colonoscopy is paid under the surgical benefit of your Plan. It is subject to deductible (if you have one) and includes the surgery, facility and pathology charges.

Is Gardasil covered?

Currently, this vaccine, also called HPV, is covered for children age 9 until they reach age 26.

Are required immunizations for international travel covered?

No, not at any age.

Is there a deductible for the Well Child Exam or immunizations for children?

No, there is no deductible for these services.

Are lead screenings covered under the Wellness Benefit?

Yes. Please refer to your Plan Benefit Profile for specific coverage amounts under your Plan.

Are there any limits or exclusions under my Wellness Benefit?

Yes. All Wellness Benefits are subject to review for appropriateness. In addition, you must always use a TeamCare in-network provider.

Is a PSA Test covered?

The Plan covers a PSA test under the Wellness Benefit. Please refer to your Plan Benefit Profile for specific coverage amounts under your Plan.