Preventive Health Care

This five-page customer reference document breaks down Cigna Healthcare's preventive care coverage to help employees take advantage of covered wellness services. It clarifies the distinction between preventive care (services completed when symptom-free) and diagnostic care, noting that in-network preventive care is typically covered at no out-of-pocket cost.

The reference guide provides structured tables outlining covered services, target demographics (men, women, children/adolescents), and recommended frequencies across several key categories:

  • Wellness Exams & Immunizations: Frequency schedules for well-baby, well-child, and annual well-person/well-woman exams, along with routine CDC-recommended vaccines (e.g., flu, COVID-19, RSV, shingles).

  • Health Screenings & Interventions: Specific guidelines for cancer screenings (breast, cervical, colon, lung, prostate), metabolic tests (cholesterol, diabetes), mental health screenings (anxiety, depression), and developmental checks for children.

  • Specialized Care & Contraception: Coverage details for pregnancy-related care, breastfeeding support/supplies, contraception products and counseling, and lifestyle interventions (tobacco cessation, healthy diet, alcohol/drug screening).

  • Plan Limitations & Footnotes: Clarification on pharmacy vs. medical coverage rules, prescription requirements for over-the-counter preventive items, and general plan exclusions (such as travel immunizations).