Group Health Preventative Services Covered Under the Affordable

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GHC-SCW Provides Preventive
Care For You
At Group Health Cooperative of South Central Wisconsin (GHC-SCW) we believe in providing
the best possible benefits and services to our members. The recent regulatory rulings on Health
Care Reform and The Patient Protection and Affordable Care Act of 2009 (PPACA) are designed
to help American’s gain access to affordable preventive health care. Too many of us don’t get
the preventive health care we need to stay healthy. Preventive services are utilized at about half
the recommended rate. When your family chooses to enroll in a new GHC-SCW health plan or
renew an existing one, your plan may have covered all of the federally recommended preventive
services without charging you a Co-pay, Co-insurance or deductible. Please visit
www.healthcare.gov for more information on the federally recommended guidelines.
What This Means for You
GHC-SCW is proud to say we have provided most of the key benefits and services outlined in
Health Care Reform Act to our members since we first established our staff model HMO plan.
Depending on your age, GHC-SCW health plan type and frequency of care, you may have no
cost-sharing and easier access to such services as:
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Blood pressure, diabetes and elevated cholesterol screening, as age appropriate
Cancer screenings
Health education on topics such as quitting smoking, losing weight, eating better, treating
depression and reducing alcohol use
Routine preventive vaccines for common childhood diseases
Adult preventive vaccines, as age appropriate
Counseling for healthy pregnancies
Regular well baby and well child visits from birth to age 21
Highlights of Preventive Care Services
Well Baby and Well Child
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Physical exam and measurements
Health development screenings
Oral health assessments
Developmental assessments
Screenings and lab tests for lead, tuberculosis (TB) and low red blood cell count
Adults
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Screenings for obesity and weight loss counseling
Diabetes, cholesterol and blood pressure screenings
Screenings for depression
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Screenings for anemia
Vision and hearing screening
Tobacco cessation counseling and alcohol screening
Immunizations
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Flu vaccines
Common childhood vaccines including, but not limited to: polio, measles, mumps,
rubella and chicken pox
Adult vaccines such as Herpes Zoster, Tetanus and others
HPV vaccines
Promoting Healthy Pregnancy
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Access to services needed for a healthy pregnancy
Screenings for iron deficiency, hepatitis B, Rh incompatibility and urinary tract infection
Special counseling on smoking and alcohol use
Counseling to support breast feeding
Chronic Disease Detection and Prevention
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Annual mammograms for women over 40
Screening for colon cancer for adults over 50
Pap smears to screen for cervical cancer
Counseling on using aspirin to prevent strokes
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