What do I need to do if I am going for a routine physical (wellness exam)?
Preventive benefits, such as routine physicals, mammograms or colonoscopies, are covered differently by each health insurance plan offered by PEBA Insurance Benefits.
v State Health Plan Standard Plan
If you are covered by the Standard Plan, the plan pays benefits for medically necessary treatment of illness and injury. As a result, routine physical exams are not covered for subscribers older than 18. The plan does offer limited preventive benefits for certain services including mammograms, Pap tests, colonoscopies and well child care. Click on the links to read about the Standard Plan’s covered wellness benefits.
v State Health Plan Savings Plan
If you are covered by the Savings Plan, you are taking greater responsibility for your health with a higher deductible. As a result, Savings Plan participants age 19 and older may receive an annual physical from a network provider. Click here to read about the services covered during an annual physical. Savings Plan participants are also eligible for additional wellness benefits, such as mammograms, colonoscopies and flu vaccinations. Click on the link to see what services are covered.
v BlueChoice Health Plan HMO
If you are covered by BlueChoice Health Plan HMO, a routine physical exam is covered every year. BlueChoice also offers wellness benefits for women’s health, colonoscopies and children’s health. Click here for more information on the BlueChoice Health Plan wellness benefits.
The Joseph F. Sullivan Center in Edwards Hall on campus at Clemson University also provides health services including:
Wellness benefits are explained in detail in the Insurance Benefits Guide.