Stay Healthy with Preventive Care

Preventive care today will help you avoid health problems—and medical expenses—down the road. Sure, you’re busy, but this investment in time will pay off in so many ways.

Preventive care is a good way to catch a medical condition in its earliest stages when it’s most treatable. And annual screenings help your doctor create a baseline measurement of your health when you’re healthy that can help diagnose a condition later on.

You Get the Care, We’ll Pay for It!

Dominion Energy pays 100% of preventive care services received from a network provider. This includes these services for you and your covered family members age 7 and older:

  • Annual checkup office visit
  • Annual gynecological exam and Pap test
  • Annual prostate exam and PSA test for men
  • Annual mammogram for women*
  • Annual colorectal cancer screening*
  • Routine tests and lab and X-ray services associated with an annual checkup, gynecological or prostate exam

* The plan pays 100% for one mammogram and colorectal screening each calendar year, even if your doctor determines there is a medical condition.

To confirm that a particular service is covered under the plan’s preventive care program, call Anthem Customer Service at 1-800-348-1966.

Women's Preventive Care Services

In addition to the preventive care services above, covered females can receive these services at no cost (no deductibles or copays):

  • Well-woman visits
  • Gestational diabetes screening
  • Domestic and interpersonal violence screening and counseling
  • FDA-approved contraceptive methods* and contraceptive education and counseling
  • Breastfeeding support, supplies and counseling
  • HPV DNA testing for women age 30 and older
  • Sexually transmitted infections counseling for sexually active women
  • HIV screening and counseling for sexually active women

* The following prescription contraceptives are also covered:

  • Diaphragms
  • Generic oral contraceptives
  • Generic emergency oral contraceptives
  • Mirena® implant contraceptives

For more information about covered preventive care, check out this list. If you're not sure if a particular service will be covered under the plan's preventive care program, call Anthem Customer Service at 1-800-348-1966 before you receive the service.

Make It a Family Affair

Preventive care and wellness visits are important for both children and adults. Children typically need physicals before the start of the school year and sports seasons. But, don’t forget about immunizations and semi-annual dental and annual vision exams. And of course, everyone needs a seasonal flu shot every year!

Other Important Preventive Care Facts

You may be wondering about preventive care for your children under age 6. What about immunizations? Is there anything you can do to make your appointments go smoothly? You have questions, we have answers!

What About Young Children?

Preventive care benefits for children through age 6 include routine care screenings, checkups and immunizations.

What About Immunizations?

Dominion Energy covers immunizations to prevent or reduce the risk of conditions such as tetanus, flu and HPV. Some immunizations require prior approval. Covered vaccines may be purchased in- or out-of-network under both Anthem and Express Scripts.

What About Preventive Prescription Medicines?

With a prescription from your doctor, the following drugs are covered at no cost to you:

  • Aspirin (persons younger than 70 years)
  • Contraceptive Methods (adults up to 51 years)
  • Fluoride (children age 6 months through 5 years)
  • Folic acid (adults up to 51 years)
  • Immunizations (the age for coverage is based on recommendations by the U.S. Centers for Disease Control and Prevention)
  • Medications used to prepare for colonoscopy (adults between 50-75 years, limited to two prescriptions per year)
  • Primary prevention of breast cancer (adults age 35 and older who meet the criteria)
  • Statins (adults between 39-76 years)
  • Tobacco cessation (adults 18 and older)
  • Vitamin D supplements (adults age 65 and older)

Additional rules and restrictions may apply.

Preventive Care Quick Tips

  • Call well in advance to get the date and time that work best for your busy life.
  • Ask if you need to have blood work or other lab tests done before the visit.
  • Make a list of any medicines you are taking (including over-the-counter drugs) and bring it with you.
  • Be prepared to list any surgeries, health procedures or other health concerns you’ve experienced.

Not Sure What Care to Get?

For more information about recommended preventive care, refer to the medical plan summary plan description or call Anthem Customer Service at 1-800-348-1966.