These data reflect the most commonly purchased benefits package for each of the health plans in
the year 2000. Coventry/Principal would not supply updated information.

HMO Annual Physicals (well-baby, well-child)
Aetna US Healthcare Covers: Well child care, routine physicals, ear, hearing and eye examinations.

Excludes: Special medical reports not directly related to treatment of the member, e.g., employment or insurance physicals, reports prepared in connection with litigation.

Blue Cross Blue Shield Covers: Well-baby care and routine office visits, periodic health checks, as well as exams required for marriage, schools, employers and athletic teams.

Cost Sharing: Copayments apply.

CIGNA / Healthsource Covers: Well child care and physical examinations.

Excludes: Routine physical exams and testing required for marriage, or by third parties, such as schools, employers, athletic teams or judicial bodies.. Also excludes exams and vaccinations required to travel abroad.

Doctors Health Plan Covers: Well-child care; physical exams.

Cost Sharing: Copayments may apply.

Excludes: Physical examinations required by third parties such as insurers, schools, employers, camps, athletic teams or judicial bodies. Also excludes examinations required to travel abroad.

Generations Covers: Well-child care; one complete physical examination per benefit period; hearing screening and audiometric testing by PCP; routine vision screenings by PCP for children up to 18.

Excludes: School physicals, premarital exams and physical exams for employment, sports or insurance.

No cost sharing.

Optimum Choice Covers: Well child care and periodic health assessments considered medically necessary.

Cost Sharing: Copayments apply.

Excludes: Physical examinations for employment, insurance, school, camp, travel, or governmental licensure, unless such exams can be obtained within the limits of the periodic health assessment.

PARTNERS Covers: Well-child care and physical examinations according to plan-prescribed frequency guidelines. The number of covered well-child visits and physical examinations varies by age. Also includes vision and hearing screening by PCP up to age 18.

Excludes: Physical examinations required by third parties such as insurers, schools, employers, camps, athletic teams or judicial bodies. Also excludes examinations required to travel abroad.

Coventry/Principal Health Care of the Carolinas Covers: Pediatric and well-baby care, routine physicals, and annual gynecological examination.

Excludes: Physical examinations for employment, school, camp, sports, licensing, insurance, adoption or marriage or other examination ordered by a third party.

QualChoice Covers: Physical examinations, including well child care and all physicals for dependents through age 18.

Excludes: Exams for obtaining or maintaining employment, insurance or professional or other licenses.

The Wellness Plan of North Carolina, Inc. Covers: Periodic health exams, preventive examinations performed by the PCP for men, women, and children.

Excludes: Routine physical exams and testing required for marriage, or by third parties, such as schools, employers, athletic teams or judicial bodies, including court-ordered services except when medically necessary. Also excludes exams and vaccinations required to travel abroad.

United HealthCare Covers: Well-child care and annual routine medical and vision screenings.

Cost Sharing: Copayment determined by type of physician or provider providing the care.

Excludes: Physical exams or testing for purposes relating to career, education, travel, employment, insurance, marriage, or adoption. Also excludes exams or testing for judicial or administrative proceedings or orders; those conducted for medical research or to obtain or maintain any type of license.

WellPath Covers: Well-baby and well-child care, routine sight, speech and hearing screenings for children, routine physicals for adults.

Cost-sharing: Applicable office visit copayment applies.

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