Wellness

Wellness is an important part of the Insurance Plan. Healthier members and covered dependents equals less money spent by the Insurance Fund and lower contribution rates. The following are some of the wellness provisions of the Plan.

Free Influenza Vaccine (The Flu Shot)

The Centers for Disease Control and Prevention recommends a yearly flu vaccine for everyone 6 months of age and older as the first and most important step in protecting against influenza. Seasonal flu viruses are detected year-round in the United States. However, flu viruses are most common during the fall and winter. The exact timing and duration of flu season can vary, but influenza activity often begins to increase in October. Most of the time flu activity peaks between December and February, although activity can last as late as May. 

Free Annual Routine Physical Exam (Office Visit and Routine Tests)

Regular health exams and tests help find problems before they start. When health conditions are found early, your chances for treatment and cure are better. Your age, health, and family history determine which exams and screening you may need, as do your activity level, lifestyle choices and whether you smoke.  Plus, it’s FREE. Members can check their Insurance Summary Plan Description for details about specific screening coverage. 

Smiling doctor speaking with patient

Free Well Child Care (Preventive Care Services Covered under the ACA)

Even more important than with adults, children need routine preventative care and exams. You want to make sure your child is developing appropriately and getting the required immunizations. Preventive care includes health services like screenings, check-ups, and patient counseling to prevent illnesses, disease, and other health problems, or to detect illness at an early stage when treatment is likely to work best. Getting recommended preventive services and making healthy lifestyle choices are key steps to good health and well-being.

Free Routine Mammogram (Women age 40 and over)

Annual mammograms can detect cancer early — when it is most treatable. In fact, mammograms show changes in the breast up to two years before a patient or physician can feel them. Mammograms can also prevent the need for extensive treatment for advanced cancers and improve chances of breast conservation. Current guidelines from the American College of Radiology, the American Cancer Society, and the Society for Breast Imaging recommend that women receive annual mammograms starting at age 40 — even if they have no symptoms or family history of breast cancer. (Source: mammographysaveslives.org)

Anthems’s 24/7 NurseLine: 888-249-3820

Health concerns can happen when you least expect them. Call the 24/7 NurseLine to talk with a registered nurse about your health concern. Whether it’s a question about allergies, fever, preventive care or any other health topic, nurses are always there to provide support and peace of mind. The nurses are there to help you choose the right place for care if your doctor isn’t available and you aren’t sure what to do. Do you need to go straight to the emergency room? Is urgent care best? Or do you need to see your doctor? Making the right call can save you time and money. You also have access to prerecorded messages from Anthem’s AudioHealth Library.

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Chiropractic Services, Physical Therapy, and Outpatient Occupational Therapy

The Fund covers a combined 50 visits maximum per calendar year for Chiropractic services, Physical Therapy, and Outpatient Occupational Therapy. There is no copay for these services; however, relevant deductibles and/or coinsurance still apply.

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