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We recently updated the Member Wellness Guidelines. The goal of
these guidelines is to provide members with a user-friendly version of
evidenced-based wellness recommendations for the average-risk person. We
encourage you to review these recommendations with your AmeriHealth patients to
determine which screenings would be appropriate based on each patient?s
specific medical and psychosocial needs.
The guidelines are updated bi-annually based on changes made to nationally
recognized sources. Changes are reviewed by internal and external consultants,
as appropriate, and by the AmeriHealth Clinical Quality Committee, which is
comprised of network physicians.
Wellness guidelines are available for the following age groups:
- children, ages birth to 17
- adult, ages 18 ? 64
- adult, ages 65 and older
You can access the Member Wellness Guidelines on our websites for AmeriHealth New
Jersey or AmeriHealth Pennsylvania. Paper
copies can be ordered by submitting an online request form for AmeriHealth New Jersey
or AmeriHealth
Pennsylvania.
Note: Member Wellness Guidelines should not be confused
with Preventive Care Benefits as provided under the Affordable Care Act. These
recommendations are not a statement of benefits and some of these services may
not be covered services or may require cost-sharing.
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