ConnectiCare SOLO

In-Network Prevention and wellness services as defined by the United States Preventive Service Task Force (listed below) are exempt from all member cost shares (deductible Deductible - The amount of medical expenses that you must pay before an insurer will cover any expenses. The deductible amount and what applies to it, are determined by the specific health plan. , copaymentCopayment - A flat fee you pay for certain benefits. The copayment amount may vary by service and whether that service is provided by a health care professional that belongs to ConnectiCare's network of providers. and coinsuranceCoinsurance - The percentage of the cost of benefits that you or ConnectiCare is legally responsible to pay.) under the Patient Protection and Affordable Care Act (PPACA) Patient Protection and Affordable Care Act (PPACA) - PPACA (Patient Protection and Affordable Care Act) - More commonly know as Health Care Reform, is now the law of the land. It is a federal statue that was signed into law on March 23, 2010.. These services are identified by the specific coding your Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services. submits to ConnectiCare. Service coding must match ConnectiCare's coding list to be exempt from all cost sharing.

• Routine Physical Exam and appropriate screening and counseling, one per year
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for infants, children and adolescents supported by the Health Resources and Services Administration
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for women supported by the Health Resources and Services Administration
• Bone Density Screenings, age 60 or older, one every 23 months
• Screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy, age 50 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Routine Mammography Screening, age 40 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Immunizations recommended by the Advisory Committee on Immunization Practices of the CDC
• Routine Vision Screening, up to age 21, one per year when services are rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Routine hearing screening up to age 21 when rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.

• Outpatient Outpatient - Health care services provided without admission to a hospital. laboratory services, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date.:
  - Cervical Cancer and Cervical Dysplasia Screening - Pap smear
  - Lipid Cholesterol Screening for adults and children at risk
  - Fasting Plasma Glucose or Hemoglobin A1c, age 18 and older for people at risk for diabetes
  - Hematocrit and Hemoglobin, for children up to age 21.
  - Lead screening, for children up to age 6
  - Tuberculin testing, for children up to age 21
  - Chlamydia, Syphilis and Gonorrhea screening for females all ages
  - Human immunodeficiency virus screening – HIV testing (no limit)
  - Screening for phenylketonuria (PKU) in newborns, under 3 months of age
  - Screening for sickle cell disease in newborns, under 3 months of age
• Developmental, Autism, and Psychosocial/behavioral assessments when rendered by a primary care provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Dietary counseling for adults with hyperlipidemia or obesity
• Tobacco Cessation interventions
• Screening for Hepatitis B, Iron Deficient Anemia, Rh (D) Blood Typing and Asymptomatic Bacteriuria in women who are pregnant
• Screening for Abdominal Aortic Aneurysm in men age 65 – 75 who have ever smoked
• BRCA counseling and genetic screening for women at risk

In-Network Prevention and wellness services as defined by the United States Preventive Service Task Force (listed below) are exempt from all member cost shares (deductible Deductible - The amount of medical expenses that you must pay before an insurer will cover any expenses. The deductible amount and what applies to it, are determined by the specific health plan. , copaymentCopayment - A flat fee you pay for certain benefits. The copayment amount may vary by service and whether that service is provided by a health care professional that belongs to ConnectiCare's network of providers. and coinsuranceCoinsurance - The percentage of the cost of benefits that you or ConnectiCare is legally responsible to pay.) under the Patient Protection and Affordable Care Act (PPACA) Patient Protection and Affordable Care Act (PPACA) - PPACA (Patient Protection and Affordable Care Act) - More commonly know as Health Care Reform, is now the law of the land. It is a federal statue that was signed into law on March 23, 2010.. These services are identified by the specific coding your Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services. submits to ConnectiCare. Service coding must match ConnectiCare's coding list to be exempt from all cost sharing.

• Routine Physical Exam and appropriate screening and counseling, one per year
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for infants, children and adolescents supported by the Health Resources and Services Administration
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for women supported by the Health Resources and Services Administration
• Bone Density Screenings, age 60 or older, one every 23 months
• Screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy, age 50 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Routine Mammography Screening, age 40 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Immunizations recommended by the Advisory Committee on Immunization Practices of the CDC
• Routine Vision Screening, up to age 21, one per year when services are rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Routine hearing screening up to age 21 when rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.

• Outpatient Outpatient - Health care services provided without admission to a hospital. laboratory services, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date.:
  - Cervical Cancer and Cervical Dysplasia Screening - Pap smear
  - Lipid Cholesterol Screening for adults and children at risk
  - Fasting Plasma Glucose or Hemoglobin A1c, age 18 and older for people at risk for diabetes
  - Hematocrit and Hemoglobin, for children up to age 21.
  - Lead screening, for children up to age 6
  - Tuberculin testing, for children up to age 21
  - Chlamydia, Syphilis and Gonorrhea screening for females all ages
  - Human immunodeficiency virus screening – HIV testing (no limit)
  - Screening for phenylketonuria (PKU) in newborns, under 3 months of age
  - Screening for sickle cell disease in newborns, under 3 months of age
• Developmental, Autism, and Psychosocial/behavioral assessments when rendered by a primary care provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Dietary counseling for adults with hyperlipidemia or obesity
• Tobacco Cessation interventions
• Screening for Hepatitis B, Iron Deficient Anemia, Rh (D) Blood Typing and Asymptomatic Bacteriuria in women who are pregnant
• Screening for Abdominal Aortic Aneurysm in men age 65 – 75 who have ever smoked
• BRCA counseling and genetic screening for women at risk

In-Network Prevention and wellness services as defined by the United States Preventive Service Task Force (listed below) are exempt from all member cost shares (deductible Deductible - The amount of medical expenses that you must pay before an insurer will cover any expenses. The deductible amount and what applies to it, are determined by the specific health plan. , copaymentCopayment - A flat fee you pay for certain benefits. The copayment amount may vary by service and whether that service is provided by a health care professional that belongs to ConnectiCare's network of providers. and coinsuranceCoinsurance - The percentage of the cost of benefits that you or ConnectiCare is legally responsible to pay.) under the Patient Protection and Affordable Care Act (PPACA) Patient Protection and Affordable Care Act (PPACA) - PPACA (Patient Protection and Affordable Care Act) - More commonly know as Health Care Reform, is now the law of the land. It is a federal statue that was signed into law on March 23, 2010.. These services are identified by the specific coding your Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services. submits to ConnectiCare. Service coding must match ConnectiCare's coding list to be exempt from all cost sharing.

• Routine Physical Exam and appropriate screening and counseling, one per year
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for infants, children and adolescents supported by the Health Resources and Services Administration
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for women supported by the Health Resources and Services Administration
• Bone Density Screenings, age 60 or older, one every 23 months
• Screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy, age 50 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Routine Mammography Screening, age 40 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Immunizations recommended by the Advisory Committee on Immunization Practices of the CDC
• Routine Vision Screening, up to age 21, one per year when services are rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Routine hearing screening up to age 21 when rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.

• Outpatient Outpatient - Health care services provided without admission to a hospital. laboratory services, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date.:
  - Cervical Cancer and Cervical Dysplasia Screening - Pap smear
  - Lipid Cholesterol Screening for adults and children at risk
  - Fasting Plasma Glucose or Hemoglobin A1c, age 18 and older for people at risk for diabetes
  - Hematocrit and Hemoglobin, for children up to age 21.
  - Lead screening, for children up to age 6
  - Tuberculin testing, for children up to age 21
  - Chlamydia, Syphilis and Gonorrhea screening for females all ages
  - Human immunodeficiency virus screening – HIV testing (no limit)
  - Screening for phenylketonuria (PKU) in newborns, under 3 months of age
  - Screening for sickle cell disease in newborns, under 3 months of age
• Developmental, Autism, and Psychosocial/behavioral assessments when rendered by a primary care provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Dietary counseling for adults with hyperlipidemia or obesity
• Tobacco Cessation interventions
• Screening for Hepatitis B, Iron Deficient Anemia, Rh (D) Blood Typing and Asymptomatic Bacteriuria in women who are pregnant
• Screening for Abdominal Aortic Aneurysm in men age 65 – 75 who have ever smoked
• BRCA counseling and genetic screening for women at risk

In-Network Prevention and wellness services as defined by the United States Preventive Service Task Force (listed below) are exempt from all member cost shares (deductible Deductible - The amount of medical expenses that you must pay before an insurer will cover any expenses. The deductible amount and what applies to it, are determined by the specific health plan. , copaymentCopayment - A flat fee you pay for certain benefits. The copayment amount may vary by service and whether that service is provided by a health care professional that belongs to ConnectiCare's network of providers. and coinsuranceCoinsurance - The percentage of the cost of benefits that you or ConnectiCare is legally responsible to pay.) under the Patient Protection and Affordable Care Act (PPACA) Patient Protection and Affordable Care Act (PPACA) - PPACA (Patient Protection and Affordable Care Act) - More commonly know as Health Care Reform, is now the law of the land. It is a federal statue that was signed into law on March 23, 2010.. These services are identified by the specific coding your Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services. submits to ConnectiCare. Service coding must match ConnectiCare's coding list to be exempt from all cost sharing.

• Routine Physical Exam and appropriate screening and counseling, one per year
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for infants, children and adolescents supported by the Health Resources and Services Administration
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for women supported by the Health Resources and Services Administration
• Bone Density Screenings, age 60 or older, one every 23 months
• Screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy, age 50 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Routine Mammography Screening, age 40 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Immunizations recommended by the Advisory Committee on Immunization Practices of the CDC
• Routine Vision Screening, up to age 21, one per year when services are rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Routine hearing screening up to age 21 when rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.

• Outpatient Outpatient - Health care services provided without admission to a hospital. laboratory services, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date.:
  - Cervical Cancer and Cervical Dysplasia Screening - Pap smear
  - Lipid Cholesterol Screening for adults and children at risk
  - Fasting Plasma Glucose or Hemoglobin A1c, age 18 and older for people at risk for diabetes
  - Hematocrit and Hemoglobin, for children up to age 21.
  - Lead screening, for children up to age 6
  - Tuberculin testing, for children up to age 21
  - Chlamydia, Syphilis and Gonorrhea screening for females all ages
  - Human immunodeficiency virus screening – HIV testing (no limit)
  - Screening for phenylketonuria (PKU) in newborns, under 3 months of age
  - Screening for sickle cell disease in newborns, under 3 months of age
• Developmental, Autism, and Psychosocial/behavioral assessments when rendered by a primary care provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Dietary counseling for adults with hyperlipidemia or obesity
• Tobacco Cessation interventions
• Screening for Hepatitis B, Iron Deficient Anemia, Rh (D) Blood Typing and Asymptomatic Bacteriuria in women who are pregnant
• Screening for Abdominal Aortic Aneurysm in men age 65 – 75 who have ever smoked
• BRCA counseling and genetic screening for women at risk

In-Network Prevention and wellness services as defined by the United States Preventive Service Task Force (listed below) are exempt from all member cost shares (deductible Deductible - The amount of medical expenses that you must pay before an insurer will cover any expenses. The deductible amount and what applies to it, are determined by the specific health plan. , copaymentCopayment - A flat fee you pay for certain benefits. The copayment amount may vary by service and whether that service is provided by a health care professional that belongs to ConnectiCare's network of providers. and coinsuranceCoinsurance - The percentage of the cost of benefits that you or ConnectiCare is legally responsible to pay.) under the Patient Protection and Affordable Care Act (PPACA) Patient Protection and Affordable Care Act (PPACA) - PPACA (Patient Protection and Affordable Care Act) - More commonly know as Health Care Reform, is now the law of the land. It is a federal statue that was signed into law on March 23, 2010.. These services are identified by the specific coding your Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services. submits to ConnectiCare. Service coding must match ConnectiCare's coding list to be exempt from all cost sharing.

• Routine Physical Exam and appropriate screening and counseling, one per year
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for infants, children and adolescents supported by the Health Resources and Services Administration
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for women supported by the Health Resources and Services Administration
• Bone Density Screenings, age 60 or older, one every 23 months
• Screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy, age 50 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Routine Mammography Screening, age 40 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Immunizations recommended by the Advisory Committee on Immunization Practices of the CDC
• Routine Vision Screening, up to age 21, one per year when services are rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Routine hearing screening up to age 21 when rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.

• Outpatient Outpatient - Health care services provided without admission to a hospital. laboratory services, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date.:
  - Cervical Cancer and Cervical Dysplasia Screening - Pap smear
  - Lipid Cholesterol Screening for adults and children at risk
  - Fasting Plasma Glucose or Hemoglobin A1c, age 18 and older for people at risk for diabetes
  - Hematocrit and Hemoglobin, for children up to age 21.
  - Lead screening, for children up to age 6
  - Tuberculin testing, for children up to age 21
  - Chlamydia, Syphilis and Gonorrhea screening for females all ages
  - Human immunodeficiency virus screening – HIV testing (no limit)
  - Screening for phenylketonuria (PKU) in newborns, under 3 months of age
  - Screening for sickle cell disease in newborns, under 3 months of age
• Developmental, Autism, and Psychosocial/behavioral assessments when rendered by a primary care provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Dietary counseling for adults with hyperlipidemia or obesity
• Tobacco Cessation interventions
• Screening for Hepatitis B, Iron Deficient Anemia, Rh (D) Blood Typing and Asymptomatic Bacteriuria in women who are pregnant
• Screening for Abdominal Aortic Aneurysm in men age 65 – 75 who have ever smoked
• BRCA counseling and genetic screening for women at risk

In-Network Prevention and wellness services as defined by the United States Preventive Service Task Force (listed below) are exempt from all member cost shares (deductible Deductible - The amount of medical expenses that you must pay before an insurer will cover any expenses. The deductible amount and what applies to it, are determined by the specific health plan. , copaymentCopayment - A flat fee you pay for certain benefits. The copayment amount may vary by service and whether that service is provided by a health care professional that belongs to ConnectiCare's network of providers. and coinsuranceCoinsurance - The percentage of the cost of benefits that you or ConnectiCare is legally responsible to pay.) under the Patient Protection and Affordable Care Act (PPACA) Patient Protection and Affordable Care Act (PPACA) - PPACA (Patient Protection and Affordable Care Act) - More commonly know as Health Care Reform, is now the law of the land. It is a federal statue that was signed into law on March 23, 2010.. These services are identified by the specific coding your Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services. submits to ConnectiCare. Service coding must match ConnectiCare's coding list to be exempt from all cost sharing.

• Routine Physical Exam and appropriate screening and counseling, one per year
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for infants, children and adolescents supported by the Health Resources and Services Administration
• Preventive Care Preventive Care - Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history. and screenings for women supported by the Health Resources and Services Administration
• Bone Density Screenings, age 60 or older, one every 23 months
• Screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy, age 50 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Routine Mammography Screening, age 40 or older, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date..
• Immunizations recommended by the Advisory Committee on Immunization Practices of the CDC
• Routine Vision Screening, up to age 21, one per year when services are rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Routine hearing screening up to age 21 when rendered by a Primary Care Provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.

• Outpatient Outpatient - Health care services provided without admission to a hospital. laboratory services, one per contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date.:
  - Cervical Cancer and Cervical Dysplasia Screening - Pap smear
  - Lipid Cholesterol Screening for adults and children at risk
  - Fasting Plasma Glucose or Hemoglobin A1c, age 18 and older for people at risk for diabetes
  - Hematocrit and Hemoglobin, for children up to age 21.
  - Lead screening, for children up to age 6
  - Tuberculin testing, for children up to age 21
  - Chlamydia, Syphilis and Gonorrhea screening for females all ages
  - Human immunodeficiency virus screening – HIV testing (no limit)
  - Screening for phenylketonuria (PKU) in newborns, under 3 months of age
  - Screening for sickle cell disease in newborns, under 3 months of age
• Developmental, Autism, and Psychosocial/behavioral assessments when rendered by a primary care provider Provider - A health care facility or professional, including a doctor, nurse, physician's assistant, who delivers medical services.
• Dietary counseling for adults with hyperlipidemia or obesity
• Tobacco Cessation interventions
• Screening for Hepatitis B, Iron Deficient Anemia, Rh (D) Blood Typing and Asymptomatic Bacteriuria in women who are pregnant
• Screening for Abdominal Aortic Aneurysm in men age 65 – 75 who have ever smoked
• BRCA counseling and genetic screening for women at risk