They charged for the hemoglobin (A1c) and everything else was covered.
code is coming as preventing but not coming up as a lab work code. Jennifer stated that claim will be reprocessed and she will be back in touch with me.
This caused me to look up and see what is cover during a Well Women Annual Exam from www.bcbsks.com/sok:
2013
Plan Year
|
2014
Plan Year
|
Screening
for:
·
STI's & HIV
·
Cervical Cancer
·
Blood Pressure
·
Cholesterol
·
Diabetes
·
Depression
·
Osteoporosis
·
Colorectal Cancer
|
Screening
for:
·
STI's & HIV
·
Cervical Cancer
·
Blood Pressure
·
Cholesterol
·
Diabetes
·
Depression
·
Osteoporosis
·
Colorectal Cancer
|
Counseling
for:
·
Alcohol
·
Aspirin
·
Breast Cancer
·
Contraceptive
·
Domestic Violence
·
Healthy diet
·
Weight Management
·
Tobacco Usage
·
STI’s
·
Folic Acid
|
Counseling
for:
·
Alcohol
·
Aspirin
·
Healthy diet
·
Weight Management
·
Tobacco Usage
|
Preventive
Care:
Coverage will be provided for the
following services once annually at 100% limited to one visit per year
unless otherwise noted. All recommended services must be discussed at
the annual well man, well woman or well child visit. Please see the
new health reform stipulations regarding these services.
·
One eye exam
·
Hearing exam
·
Implantable/Injectable contraceptives
·
Sterilization
·
Shots accepted med practice
·
Vaccination include:
o Shingles
<50
o HPV
male or female
·
Routine Labs:
o health
lab panel/lipid
o CBC
o Thyroid
stimulating hormone
o Basic/Comprehensive
metabolic
o HDL/LDL
and triglyceride
o Fecal
occult blood
o Creatinine
o UA
o HIV
testing
o PSA
o STI's
o Diabetes
screening
o Depression
screening
o Digital
rectal exam
o Bone
density screening
|
Preventive
Care:
Coverage will be provided for the
following services once annually at 100% limited to one visit per year
unless otherwise noted. All recommended services must be discussed at
the annual well man, well woman or well child visit.
·
One eye exam
·
Hearing exam
·
Implantable/Injectable contraceptives
·
Sterilization
·
Shots accepted med practice
·
Vaccination include:
o Shingles
<50
·
Routine Labs:
o health
lab panel/lipid
o CBC
o Thyroid
stimulating hormone
o Basic/Comprehensive
metabolic
o HDL/LDL
and triglyceride
o Fecal
occult blood
o Creatinine
o UA
o HIV
testing
o PSA
o STI's
o Diabetes
screening
o Depression
screening
o Digital
rectal exam
o Bone
density screening
|
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