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Preventive Care

Medica offers many preventive services at no cost to our members. It is important to know the difference between covered preventive care services and other services, because it affects how much you pay. Sometimes people are surprised to have unexpected co-pay, deductible or coinsurance costs – because they agreed to receive “non-preventive” care services at the same time they saw the doctor for preventive care.

Covered preventive services typically include:

  • General medical exams
  • Colon, breast and prostate cancer screenings
  • Certain laboratory tests, as recommended by your doctor
  • Immunizations
  • Eye exams
  • Bone density screenings

Which types of services are not preventive?

You will typically need to pay for part of the costs for services that are not considered preventive; even if you receive them on the same day you receive preventive care services from your doctor. Examples of non-preventive care services:

  • Earwax removal is defined as a surgical procedure and is not a preventive service
  • Services to diagnose or treat existing symptoms, such as chest X-rays for persistent cough or lab testing for a sore throat

Learn more about the difference between preventive and non-preventive care.

See a full list of the preventive care services covered under the Affordable Care Act on the U.S. Department of Health & Human Services website.


Once your plan starts, register on mymedica.com to manage your health plan. Order ID cards, find out what's covered, track your claims and more!

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