Well newborn nursery care while the newborn is hospital-confined after birth includes room, board, and other normal care for which a participating hospital or physician makes a charge.
Benefits are only provided when a participating provider renders services.
Under the High Option for Children, immunizations are paid by the Plan at 80%. In addition, the tests provided as part of the regular well-child care benefit are paid at 100%.
Wellness/Preventive Coverage for Adults Wellness/preventive services for participants, ages 18 and older, are limited to a maximum benefit of $250 annually. Benefits will be provided at 100% of the allowable charge, for office visits and certain diagnostic tests as defined by the Plan. The diagnostic tests are based on age and gender. These services are not subject to the calendar year deductible.
A list of the covered wellness/preventive tests can be found at the Plan’s web site, http://knowyourbenefits.dfa.state.ms.us or can be obtained by calling Blue Cross & Blue Shield.
Benefits are only provided when a participating provider renders services. Unused benefit amounts do not carry over into subsequent years.
The following services are not covered by the wellness/preventive coverage: Dental services, routine foot care, routine eye examinations, routine hearing examination.