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Preventive Care at No Cost

Stay healthy—annual checkups, vaccinations, and screenings

Be proactive about your health to catch potential health issues while they’re easier to treat. In-network preventive services are 100% covered (free to you) by your Premera plan.
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Explora tus opciones de cuidado preventivo

Encontrarás información acerca de tus beneficios, citas importantes con tu doctor principal y cómo aprovechar de tu plan de salud.

Obtenga más información sobre la atención preventiva

Stay healthy—annual checkups, vaccinations, and screenings

How preventive care works

Watch the video on how to choose a primary care doctor and other key ways to use your preventive benefits.

3 ways to stay well & prevent illness

1

Find an in-network primary care physician. Use the Find Care tool on Premera.com or the Premera mobile app. In-network doctors will reduce your out-of-pocket costs.

2

Schedule a preventive exam, at no cost. You’re covered for one exam per year. Your doctor may recommend routine cancer screens like mammograms and colonoscopies. It’s best to have preventive visits about 12 months apart.

3

When signed in, get all your preventive benefit details—learn what’s 100% covered with preventive care. More about preventive services

Things to know

Checkups

Annual wellness exams are free in-network.

But if you discuss a symptom, injury, or condition, you may be charged for a regular office visit (not free).

Lab work

Routine bloodwork* at an annual checkup is free.

Other lab work and biopsies are usually covered, but not free.

Check that your lab is in-network to minimize cost.

*Not all bloodwork is routine. Check your benefits or speak with your provider to find out which blood labs are covered, or if there is a cost.

Screenings

Routine screenings for cancer (like colonoscopies) are free in-network.

Skin cancer screenings by a dermatologist are covered, but not free.

If your test is ordered because of a symptom or concern, it is diagnostic. It may be covered, but is not free.

Screening or diagnostic?

The same test—like a colonoscopy—can be either a screening (free) or diagnostic (covered, but not free). How can you tell?

If the test is used to check out a sign, symptom, or health concern, it is diagnostic.

Avoid surprise costs: Ask your doctor if a recommended test is preventive. If they say "no," then it's not free.

Medical conditions

Do you have a diagnosed medical condition? Tests to monitor that condition are diagnostic (not preventive) and will incur costs (not free).

Check that labs and facilities that do doctor-ordered tests are in-network to minimize cost.

Vaccinations

COVID-19 vaccines are free.

Flu shots are free at any pharmacy.

All other routine vaccines are free at in-network doctors' offices.

Travel vaccines (like typhoid) are free at travel clinics or county health departments.

Be proactive—enjoy a healthier future

Why you need preventive care

What happens in a preventive visit

Common preventive services, screenings and tests

Wellness annual checkup

Well-baby and well-child exam

Breast and colon cancer screening

Obesity screening and counseling for weight loss

Birth control, contraception and family planning

Cholesterol test (for adults based on age or high risk)

Resources

Benefits under your health plan may differ, so refer to your benefit booklet for information on what your specific health plan covers.

Your health plan covers preventive care services as required by state and federal law. For more information, please review the "A" and "B" rated services on the United States Preventive Services Task Force, immunizations recommended by the Centers for Disease Control and Prevention and preventive care and screening recommended by the Health Resources and Services Administration. See the list on healthcare.gov.

Care Essentials