Stay healthy with preventive care

A colonoscopy, mammogram, and other types of routine screenings can help you identify and treat potential health problems before they develop or worsen. Stay healthy with preventive care - checkups, screenings, immunizations, and more – at no cost to you.1

What is considered a preventive visit?

When you are healthy and not experiencing any symptoms or illness, this would be considered a preventive care visit. It is recommended that all people have a yearly visit, or check-up, with their doctor. At this visit, you will most likely have a physical examination and receive certain screenings and tests. This visit is also a good opportunity to ask your doctor any health questions you may have.

What am I responsible to pay?

Tufts Health Plan covers preventive care in full, as long as you get care with a doctor or provider who is part of our network. This means you pay no copayment, coinsurance, or deductible for preventive care.

Please note: You may receive non-preventive services during a visit that do require a copayment, coinsurance, or deductible. Examples of these services include pregnancy tests, throat cultures, allergy tests, x-rays, ultrasounds, setting of bones and casts, and cardiac stress tests. Please check your benefit document for additional details.

Preventive screenings, tests, and immunizations

Preventive care is important because certain conditions oftentimes don’t produce any symptoms in their initial stages. But routine screenings can detect potential problems early, when they’re the most treatable.

Screenings you need depend on your age, gender, family history, and any risk factors you may have. Here are some examples of adult preventive screenings and immunizations your doctor might recommend during a preventive visit:

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  • Blood Pressure
  • Breast Cancer
  • Cervical Cancer
  • Cholesterol
  • Colorectal Cancer
  • Depression
  • Diabetes
  • Osteoporosis
  • Skin Cancer
  • COVID
  • Flu
  • Hepatitis A
  • Hepatitis B
  • Human papillomavirus (HPV)
  • Influenza
  • Meningococcal
  • Measles, mumps, rubella
  • Pneumococcal
  • Tetanus, diphtheria, pertussis
  • Zoster

Create a list of screening tests you may need at your next visit.

Get Started

 

  1. Preventive care may not be eligible for 100% coverage with some plans — please check your benefit document to confirm. For plans that do provide 100% coverage, preventive care must be received from a provider in the Tufts Health Plan network. Only certain services qualify as preventive. If you have any questions about whether a service is preventive, please check your benefit document or call Member Services at the number on your ID card. Please note: you may receive non-preventive services during a routine visit that require a cost-share. Examples of these services include but are not limited to pregnancy tests, throat cultures, allergy tests, x-rays, ultrasounds, setting of bones and casts, and cardiac stress tests.