For more information about how to keep or regain your good health:
Preventive health services are provided at no cost to you when given by your PCP or women’s health care provider.
As an adult, you need regular visits even when you feel well. If you have not seen your PCP recently, you should schedule an exam. During that exam, you and your PCP can discuss the future visit schedule that is best for you. Be sure to ask what tests and services you may need.
Here is a list of things your PCP may review at your visit:
Important notes:
If you have questions about what Community Health Plan will cover, please call the Community Health Plan customer service team at 1-800-440-1561, Monday through Friday from 8:00 am to 5:00 pm, or email customercare@chpw.org. If you are hearing or speech impaired, please call TTY Relay: Dial 7-1-1.
To protect you from illness, Community Health Plan covers these shots for adults:
Female Community Health Plan members have the right to see Community Health Plan providers in our network who offer women’s health care services.
Services may include:
Your women’s health care provider can also continue to treat you without a PCP referral for routine services and follow-up treatment for problems found during your women’s health care exam.
You can get these services without a PCP referral from an in-network women's health care provider. If you need to see a women’s health care provider who is not with Community Health Plan, you must get a referral from your PCP. Community Health Plan must approve the referral before you see a women’s health care provider who is not with Community Health Plan.
It is important to get regular women’s health exams, such as screenings for breast and cervical cancer. These screenings look for cancer before a woman has any symptoms. This can help find cancer early.
It is important to know that your PCP does not necessarily think you have cancer if he or she suggests a screening test. Screening tests are given when you have no cancer symptoms.
Breast cancer screenings mean checking a woman's breasts for cancer before there are signs or symptoms of the disease.
Three main tests are used to screen the breasts for cancer:
Talk to your PCP about which tests are right for you and when you should have them. Your provider can tell you which tests will be paid for by Community Health Plan.
Frequently, if cervical cancer is found early it can be cured. Regular Pap tests identify precancerous conditions as well as cervical cancer. Getting Pap tests can cut a woman's risk of getting cervical cancer.
What is a Pap test? The Pap test, also called the Pap smear, is a cervical cancer screening test. It is not used to detect other kinds of cancer. It is done in a PCP's or women’s health specialist’s office or clinic.
When should I get a Pap test? You should have a Pap test for cervical cancer as part of a routine check-up: By 21 years of age or within three years of sexual activity. Depending on your risk factors, if your previous tests results were normal the test should be done every one to three years until you are 70 years old. (Risk factors are things that may increase your risk of getting a disease, such as your family history or your age.)
You should talk with your PCP about when to start having Pap tests, how often to have them, and when you can stop. This is very important if you are at high risk.
Medical Care Services does not cover pregnancy services.
If you are pregnant, contact your local Community Service Office (CSO) caseworker right away to fill out a Change of Circumstances form. Take proof of your pregnancy. The CSO caseworker can discuss how to cover your medical care related to the pregnancy.
