TRS encourages you to maintain health and wellness through routine “preventive” care. Preventive care means taking good care of yourself by participating in routine health check-ups and screenings for common ailments. Not only do these activities contribute to longevity and healthy living, you will realize significant financial savings in the long run. Going to the doctor regularly can help you catch potential health problems before they get too serious – and TRS plans will pay 100% of in-network office visits and lab tests for preventive care.
Be sure your health care provider is aware that they must bill this benefit as “preventive care.” For example, a blood pressure screening is covered at 100 percent but if the screening is for the purpose of monitoring an existing condition, or to get a prescription, it may be billed as “diagnostic” instead. For diagnostic procedures you would be responsible for paying out of pocket until you meet your deductible.
Your plan provides preventive care benefits for covered services, when using network providers, and the services will not be subject to copayment, deductible, coinsurance or out-of-pocket dollar maximums:
The following list of preventive services is for quick-reference only, is not an exhaustive list, and is based on the more detailed aforementioned clinical best practice guidelines. If you have additional questions about what preventive services are covered based on your specific demographics, please reference your benefits manual or contact your health plan.
Doctors are encouraged to counsel patients about these health issues and refer them to appropriate resources as needed: