Routine Physicals

Routine physical exams are covered according to the following schedule:

For children:

  • Six visits per year (0–12 months)
  • Three visits per year (12–24 months)
  • One visit per year (2–18 years)

For adults:

One physical exam is covered each calendar year.

Waiver of Deductible and Coinsurance:

Routine physicals are covered 100% with no deductible or coinsurance for in-network care.

Out-of-network preventive care is covered 70% with no deductible.