Preventive Care Guidelines Not In Use

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Preventive Care Guidelines

The following clinical guidelines are used by our clinical management program (Coventry Health Care) to ensure medically appropriate preventive care is provided. The guidelines do not represent a guarantee of coverage.  Your benefits are administered in accordance with the official Plan brochure. If you have questions, please contact us at 1-800-410-7778.

These health maintenance guidelines for adults and children are based on recommendations from national medical associations and authorities.

0 to 6 years

7 to 12 years
13 to 18 years
19 to 39 years
40 to 64 years
65 and older


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