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HSA Preventative Care Benefits - Connecticare only

How to Enroll with Connecticare
The HSA plan deductible does not apply to the following covered health services when they are rendered by a Participating Provider. Please note that the limitation provisions detailed below only shows you when those services do not apply to the Plan Deductible for the identified in-network services. This means you have first dollar coverage for these items.

• Colorectal cancer screenings, fecal occult blood test, sigmoidoscopy or colonoscopy
(including an associated biopsy performed during a colonoscopy) age 50 or older,one per year

• Gynecological preventive exam, one per year

• Immunizations for: Children - Chickenpox, Diphtheria, Hemophilus Influenza B, Hepatitis B,
Measles, Mumps, Pertussis, Pneumococcus, Polio, Rubella, and Tetanus Adults - Chickenpox, Influenza, Pneumococcus, and Tetanus

•Mammography screenings, age 40 or older, one per year

•Newborn well baby visits

•Outpatient laboratory services (one per year) associated with preventive exams
including but not limited to:

– Cervical cancer screening- Pap tests
– Cholesterol screening
– Fasting plasma glucose
– Hematocrit or hemaglobin
– Lead screening
– Urinalysis

• Preventive exams for adult (one per year) and pediatric exams as coded by the most
current edition of the American Medical Association’s Current Procedural Terminology Coding Manual, including an electrocardiogram.

• Prostate cancer screening and associated laboratory tests, age 50 and older, one per year

• Routine vision exam, one per year

               
             
How to Enroll with Connecticare        
           
For help or questions              
call: 1-866-508-0618              
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Z 4-18-2008