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Get the Preventive Care You Need

Annual Wellness Visits and Your Primary Care Provider

Your Primary Care Provider (PCP) is like family. So, choosing one you like and building a relationship with them is key to your health
year-after-year. Plan on seeing your PCP at least once a year for your free annual wellness visit. Making sure your PCP is aware of all your
medical conditions—even those that are well managed and under control—helps ensure you receive the care and coverage you need to
manage your conditions.

Note: If your AWV also includes a discussion of the management of your current chronic medical conditions (e.g., diabetes, high blood
pressure, arthritis) in addition to your preventive services, a copayment may apply. A copayment may also apply if lab tests or other testing
is completed to assess your chronic medical conditions.

And remember, our Member Advocates can help you find the right doctor for your needs and help you schedule an appointment.

Preventive Care Services

Our plan covers many preventive care services, including:

• Abdominal aortic aneurysm screening
• Alcohol misuse counseling
• Bone mass measurement
• Breast cancer screening (mammogram)
• Cardiovascular disease (behavioral therapy)
• Cardiovascular screenings
• Cervical and vaginal cancer screening
• Colorectal cancer screenings (colonoscopy, fecal occult blood test, flexible sigmoidoscopy)
• Depression screening
• Diabetes screenings
• HIV screening
• Medical nutrition therapy services
• Obesity screening and counseling
• Prostate cancer screenings (PSA)
• Sexually transmitted infections screening and counseling
• Tobacco use cessation counseling (counseling for people with no sign of tobacco-related disease)
• Vaccines, including flu shots, hepatitis B shots (covered for high-risk individuals who meet criteria), pneumococcal shots
• “Welcome to Medicare” preventive visit (one-time)
• Annual wellness visit

Any additional preventive services approved by Medicare during the contract year will be covered.

We use letters (and sometimes a phone reminder system) to let you know when it’s time to schedule preventive screenings for:

• Cervical cancer
• Breast cancer
• Colon cancer
• Chlamydia

You may also get a mailer explaining why these cancer screenings are important and to help you find a clinic.

Medicare Disclaimers

Select Health is an HMO, PPO, SNP plan sponsor with a Medicare contract. Enrollment in Select Health Medicare depends on contract renewal.

Every year, Medicare evaluates plans based on a 5-Star Rating System. Select Health Medicare HMO plans received 4 out of 5 Stars and Select Health Medicare PPO plans received 3.5 out of 5 Stars for the contract year 2025. Visit medicare.gov for more information.

The benefits mentioned are part of a special supplemental program for chronically ill enrollees. Eligible chronic conditions include diabetes, hypertension, musculoskeletal disorders, lung disorders, and cancer, as well as other conditions not listed. Eligibility for the benefits is not based solely on your condition and all eligibility requirements must be met before the benefits are provided. For details, please contact the Plan.

Select Health Medicare + Kroger pharmacy network includes limited lower-cost, preferred pharmacies in Bonneville county in Idaho. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 855-442-9900 (TTY:711) or consult the online pharmacy directory at www.selecthealth.org/medicare/pharmacy.

Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
For accommodations of persons with special needs at meetings, call member services at 855-442-9900 (TTY:711).

If you have a compliance concern, or suspect fraud, waste or abuse is occurring, contact Compliance at 800-442-4845 (TTY 711), available 24/7 or email ContactCompliance@imail.org. For anonymous reporting, please call 844-442-5844 (TTY 771), where a third-party vendor will collect and report your concern.

Select Health, Select Health Medicare, Intermountain Health, and the Select Health and the Intermountain Health logos are registered trademarks of Select Health, Inc. or Intermountain Health, Inc., and may not be used except with written permission of the respective owner.

Get the Preventive Care You Need

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Get the Preventive Care You Need

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