Covered services are based on a Preventive Care Schedule, which includes preventive services for children and adults based on recommendations from the U.S. Preventive Services Task Force, the Advisory Commission on Immunization Practices of the Centers for Disease Control and the Health Resources and Services Administration.
Eligible, in-network preventive services are covered at 100%, do not require a co-pay and are not subject to the deductible. Preventive services received from providers outside the network are not covered as preventive services and standard out-of-network charges (deductibles and coinsurance) will apply.
We recommend taking a copy of your Preventive Care Schedule to your visit to facilitate a discussion with your physician regarding recommended covered services.
To verify benefits, call Highmark BCBS at the number on the back of your member ID card. Highmark will need procedure and diagnosis codes to verify benefits.
View the Preventive Care Schedule .