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  2. What is Eligible for Sharing?

Are wellness visits shared?

Can I get my annual physical?

One annual/well visit for members 6 years and older per membership year is 100% sharable and is not subject to the PRA or co-share. No Provider fee is applied to this visit either.

Members under the age of 6 receive one annual visit. Additional visits will follow routine well child guidelines as dictated by the American Academy of Pediatrics. These additional visits are subjected to PRA and co-share. Well-child care is defined as recommended routine check-ups and associated lab work, excluding vaccinations and/or immunizations.

 

If you're provider orders lab tests with your annual physical, information about lab eligibility can be found in this article.

Learn more in this short video: