We encourage you to check directly with your insurance plan to get specific answers to questions about your coverage and benefits. Many plans have web sites and customer service numbers. You can also consult your benefit plan book or contact your Human Resources department.
Questions
What is preventive care?
Services provided to evaluate and maintain your health
Medical care focused on preventing future illnesses
Screening tests to detect medical conditions before you have symptoms for certain diseases, such as colon and cervical cancer
One example of a preventive visit is an annual physical, sometimes called a well-check.
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What is a problem-related service?
Services provided to evaluate a specific problem and/or illness
Medical care focused on the history of a problem, assessing the problem and treating it.
Diagnostic tests to help your physician find the problem or the cause of a problem, make a diagnosis and develop a treatment plan.
A visit to a Healthcare Provider for a specific illness or injury, such as a sore throat or bad back, is an example of a problem-related service.
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What is a problem-related service co-payments?
Billing and coverage of Combined preventive problem visits
If a River Falls, Spring Valley or Ellsworth Medical Clinic Health Care Provider provides preventive care and evaluates or treats a problem on the same day, two separate services may be billed - a preventive service and a problem service. This billing reflects the actual services provided. Your portion of the bill will depend on your insurance coverage.
If you have questions about which services are covered, please contact your insurance company. If you have questions about your RFMC bill, please contact our insurance department 715-425-6701 or 800-514-9204.
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