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Cost-sharing for preventive and nonpreventive services 

September 1, 2011    

As previously communicated in Partners in Health Update, IBC announced there is no member cost-sharing ($0) for certain preventive services provided to certain members. These new cost-sharing rules are mandated by the Federal Health Care Reform act known as the Patient Protection and Affordable Care Act of 2010. The $0 copayment does not apply to problem-focused (i.e., nonpreventive) services. If a member is seen for both preventive and nonpreventive services during the same visit, cost-sharing may apply.

For questions regarding member benefits, log on to the NaviNet® web portal and select Member Eligibility and Benefits Inquiry from the Plan Transactions menu. You can also use the Provider Automated System by calling 1-800-ASK-BLUE.

NaviNet® is a registered trademark of NaviNet, Inc., an independent company.

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