HealthChoice covers qualifying preventive care services at 100% of allowable amounts when rendered by a participating network provider. Qualifying coverage may be determined by age, gender or other factors. There could be certain codes not payable in all circumstances due to other policies or guidelines including coverage limitations or exclusions, and/or certification may be required for coverage. Certain services can be done for preventive or diagnostic reasons. When a service is performed for the purpose of preventive screening and is appropriately reported, it will be considered under the HealthChoice preventive care services benefit. Diagnostic services are considered under the HealthChoice standard plan benefits.
For a list of HealthChoice preventive services refer to the HealthChoice website at omes.ok.gov/services/healthchoice/member/preventive-services.