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Minimum Essential Coverage (MEC) Benefits

MEC PRIMARY & PREVENTATIVE HEALTH CARE PLAN

  1. The MEC Primary and Preventative Health Care Plan is offered at no cost to members. The MEC Health Care Plan requires you to use in-network medical providers.

To find a Medical Provider in your area follow the link below.

 

 

  1. Click Select Network
  2. Click Multiplan
  3. Click Preventative Services Only
  4. Enter your search criteria
 Traveling outside of California? Your Health Plan is accessible throughout the United States. Simply visit the link below and follow the above instructions to locate a provider where ever your travels take you.

COVERED PREVENTION SERVICES

 

– MEC FOR ADULTS –

 

  • Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked.
  • Alcohol misuse screening and counseling.
  • Aspirin use for men and women of certain ages.
  • Blood pressure screening for all adults.
  • Cholesterol screening for adults of certain ages or at higher risk.
  • Colorectal cancer screening for adults over 50.
  • Depression screening for adults.
  • Type 2 diabetes screening for adults with high blood pressure.
  • Diet counseling for adults at higher risk for chronic disease.
  • HIV screening for all adults at higher risk.
  • Immunization vaccines for adults – doses, recommended ages, and recommended populations vary.
  • Obesity screening and counseling for all adults.
  • 13 Sexually Transmitted Infections (STI) prevention counseling for adults at high risk.
  • Tobacco use screening for all adults and cessation interventions for tobacco users.
  • Syphilis screening for all adults at higher risk.

– MEC FOR CHILDREN –

 

  • Alcohol and drug use assessments for adolescents.
  • Autism screening for children at 18 to 24 months.
  • Behavioral assessments for children of all ages. Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, and 15 to 17 years.
  • Blood pressure screening for children ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, and 15 to 17 years.
  • Cervical dysplasia screenings for sexually active females.
  • Congenital hypothyroidism screening for newborns.
  • Depression screening for adolescents.
  • Developmental screening for children under age 3, and surveillance throughout childhood.
  • Dyslipidemia screening for children at higher risk of lipid disorders. Ages: 1 to 4 years, 5 to 10 years, 11 to 14 years, and 15 to 17 years.
  • Fluoride chemoprevention supplements for children without fluoride in their water source.
  • Gonorrhea preventative medication for the eyes of all newborns.
  • Hearing screening for all newborns.
  • Height, weight, and body mass index measurements for all children. Ages: 1 to 4 years, 5 to 10 years, 11 to 14 years, and 15 to 17 years.
  • Hematocrit or Hemoglobin screening for children.
  • Hemoglobinopathies or sickle cell screening for newborns.
  • HIV screening for adolescents at higher risk.
  • Immunization vaccines for children from birth to age 18 – does, recommended ages, and recommended populations vary.
  • Iron supplements for children ages 6 to 12 months at risk of anemia.
  • Lead screening for children at risk of exposure.
  • Medical history for all children throughout development. Ages: 1 to 4 years, 5 to 10 years, 11 to 14 years, and 15 to 17 years.
  • Obesity screening and counseling.
  • Oral health risk assessment for young children. Ages 0 to 11 months, 1 to 4 years, 5 to 10 years.
  • Phenylketonuria (PKU) screening for this genetic disorder in newborns.
  • Sexually transmitted disease (STI) prevention counseling and screening for adolescents at high risk.
  • Tuberculin testing for children at higher risk of tuberculosis. Ages 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, and 15 to 17 years.
  • Vision screening for all children.

– MEC FOR WOMEN, INCLUDING PREGNANT WOMEN –

 

 

  • Anemia screening on a routine basis for pregnant women.
  • Bacteriuria urinary tract or other infection screening for pregnant women.
  • BRCA counseling about genetic testing for women at higher risk.
  • Breast cancer mammography screenings every 1 to 2 years for women over 40.
  • Breast cancer chemo-prevention counseling for women at higher risk.
  • Breastfeeding comprehensive support and counseling from trained providers, as well as access to breastfeeding supplies, for pregnant and nursing women.
  • Cervical cancer screening for sexually active women.
  • Chlamydia infection screening for younger women and other women at higher risk.
  • Contraception: Food and Drug Administration (FDA) approved contraceptive methods, sterilization procedures, and patient education and counseling, not including abortifacient drugs.
  • Domestic and interpersonal violence screening and counseling for all women.
  • Folic Acid supplements for women who may become pregnant.
  • Gestational diabetes screening for women 24-28 weeks pregnant and those at high risk of developing gestational diabetes.
  • Gonorrhea screening for all women at higher risk
  • Hepatitis B screening for pregnant women at their first prenatal visit. Human Immunodeficiency
  • Virus (HIV) screening and counseling for sexually active women. Human Papillomavirus (HPV)
  • DNA Test: High risk HPV DNA testing every three years for women with normal cytology results who are 30 or older.
  • Osteoporosis screening for women over age 60 depending on risk factors.
  • Rh incompatibility screening for all pregnant women and follow-up testing for women at higher risk.
  • Tobacco use screening and interventions for all women and expanded counseling for pregnant tobacco users.
  • Sexually transmitted infections (STI) counseling for sexually active women.
  • Syphilis screening for all pregnant women or other women at increased risk.
  • Well-woman visits to obtain recommended preventative services.
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