Covers preventive health services and health screenings for adults, women and children. Also includes:
- Telemedicine
- Behavioral health services
- Prescription Benefits
Covered Preventive Services for Children
- Alcohol, Tobacco and Drug Use assessments for adolescents
- Autism screening for children at 18 and 24 months
- Developmental screenings for children under age 3
- Immunization vaccines for children from birth to age 18; doses, recommended ages, and recommended populations vary: Diphtheria, Tetanus, Pertussis, Haemophilus influenza type B, Hepatitis A & B, Human Papillomavirus, Inactivated Poliovirus, Influenza (Flu Shot), Measles, Mumps, Rubella, Meningococcal, Pneumococcal, Rotavirus, Varicella
- Obesity screening and counseling
- Vision screening for all children
The above includes, but is not limited to, the services listed.
Covered Preventive Services for Women, including Pregnant Women
- BRCA counseling and genetic testing for women at higher risk
- Breast Cancer Mammography screenings every one-to-two years for women over 40
- Cervical Cancer screening
- Contraception: Food and Drug Administration approved contraceptive methods, sterilization procedures, and patient education and counseling for women with reproductive capacity (not including abortifacient drugs).
- Well-woman visits to get recommended services for all women.
The above includes, but is not limited to, the services listed.
Covered Preventive Services for Adults (ages 18 and older)
- Abdominal Aortic Aneurysm one-time screening for men of specified ages who have ever smoked
- Blood Pressure screening
- Colorectal Cancer screening for adults age 45 to 75
- Type 2 Diabetes screening for adults 35 to 70 who are overweight or obese
- Immunizations vaccines for Hepatitis A & B, Herpes Zoster, Human Papillomavirus, Influenza (flu shot), Measles, Mumps, Rubella, Meningococcal, Pneumococcal, Tetanus, Diptheria, Pertussis, Varicella)
- Tobacco Use screening and cessation interventions
The above includes, but is not limited to, the services listed.
Monthly Rates
| Member | Member + Child(ren) | Member + Spouse | Member + Spouse + Child(ren) |
|---|---|---|---|
| $45.00 | $85.00 | $85.00 | $125.00 |
Pharmacy Benefits included from Two Companies!
EHIM has over 62,000 participating pharmacies across the country. To help locate a provider, EHIM’s Pharmacy Help Desk is available for your convenience 24 hours a day, 7 days per week, 365 days per year. Their toll free number is 1-800-311-3446. If you have any questions regarding benefits, you can also visit EHIM’s website at www.ehimrx.com.
Please Note: Certain medications may be subject to quantity limits. Medications subject to quantity limits are to help ensure that these medications are not utilized inappropriately or recommended maximum dosages are not exceeded. EHIM’s quantity limitations are based on FDA-approved recommendations and pharmaceutical guidelines.
Citizens Rx has over 67,000 retail pharmacies nationwide. Citizens Rx is a discount prescription card that provides up to a 75% discount on FDA approved medications.
Virtual Medical and Behavioral Health Solutions
There is $O co-pay, no appointments, no medical bills! You and your family will have access to our virtual healthcare for acute care needs. Teledoc’s U.S. board-certified doctors are available 24 hours a day, 7 days a week, 365 days a year. Now, more than ever, virtual health is a safe, convenient way to access acute services for you and your family.
Behavioral health services are offered by Clever Health. You can connect with a specialist 24/7. You can be connected to emergency resources immediately, if necessary, and will have access to helpful resources and programs.
If you have questions, please contact OOIDA’s Life & Health Benefits Department at 1-800-715-9369 or email medben@ooida.com.
For a complete listing of all covered services, please visit: www.healthcare.gov/coverage/preventive-care-benefits/
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