Stay On Top of Your Health With Preventive Care

Check-ups and screenings are covered 100%1

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

What is considered a preventive 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 certain screenings and tests. The visit is also a good opportunity to ask your doctor any health questions you have. When you are healthy and not experiencing any symptoms or illness, this would be considered a preventive care visit.

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 that 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 often 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. These are some examples of preventive screenings and immunizations that your doctor might recommend during a preventive visit:

Preventive Screenings

Talk to your doctor about the frequency of testing needed for you.

  • Blood Pressure and Cholesterol
  • Breast Cancer 
  • Cervical Cancer (Pelvic Exam and Pap Test) 
  • Colorectal Cancer
  • Depression
  • Hypertension
  • Lung Cancer
  • Osteoporosis
  • Sexually Transmitted Infections 
  • Skin Cancer
  • Type 2 Diabetes Mellitus
Preventive Immunizations
  • Rotavirus
  • DTP
  • Haemophilus influenzae Type B
  • Inactivated poliovirus
  • MMR
  • Meningococcal
  • HPV
  • Tetanus, diphtheria, pertussis
  • Human papillomavirus
  • Varicella
  • Zoster
  • Measles, mumps, rubella
  • Influenza
  • Pneumococcal (polysaccharide and conjugated)
  • Hepatitis A
  • Hepatitis B
  • Meningococcal

View the full list of preventive medications and services that may be covered at no cost (copay, coinsurance, or deductible), depending on your plan benefits.

  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.