HEALTH INSURANCE

100% Covered

PROVIDER

Group #101498
NEtwork BLUE Network
1-888-592-8961

PHARMACY NETWORK
Network C
DRUG LIST
PDL 10 (Formerly "BCBSNE Standard Formulary")

Preventive Care Services

Preventive care services are covered at 100% when they are obtained from a network provider, as long as no diagnosis is made. Please see the chart below for more information on recommended preventive care services.

The services listed are general recommendations. Your doctor may recommend different frequency or timing based on your personal or family history.

History, Physical Examination and Assessment

At each preventive care visit

Blood Pressure
Height and Weight (BMI)
Depression Screening
Tobacco, Alcohol or Drug Abuse Screening
Sexual Wellness and Disease Screening

Diabetes Screening

At each preventive care visit

Cholesterol Screening

Every five years beginning at age 35

Colorectal Cancer Screening

50 years of age and over; annually with fecal occult blood test; every 5-10 years with colonoscopy

Cervical Cancer Screening (Pap smear)

Women annually at age 18 or age of sexual activity and every 1-3 years thereafter

Breast Cancer Screening (Mammogram)

Women age 40 and older; every 1-2 years thereafter

Osteoprorosis Screening

Age 65 and older; once every two years thereafter

Sexually Transmitted Disease Screening

Annually based on risk

Pregnancy-related Screenings

Ask your doctor about additional services recommended during your pregnancy

Bacteria in the urine
Folic acid supplementation
Hepatitis B screening
Rh compatibility
Iron deficiency screening
Gestational diabetes

Risk of Falling Assessment

Age 65 and older

Immunizations

Tetanus and Diphtheria (Td/Tdap)

Every 10 years

Pneumococcal (Pneumonia)

One dose

Influenza (flu)

Annually

Human Papilloma Virus (HPV)

3-dose series before age 25

Zoster (Shingles)

One dose, age 60 or over

Meningococcal

Certain high risk groups based on medical, occupational, lifestyle, or other indicators

Hepatitis B or Hepatitis A

Persons at risk or catch-up series

Varcella (Chicken pox)

Catch-up if needed

Other Services

Breastfeeding Support, Supplies, and Counseling

One breast pump per pregnancy

Contraceptive Methods and Counseling

Varies based on contraceptive methods

Diet Counseling

100% paid as needed

Tools

BCBSNE Tools and Resources

  • Find a Doctor

  • Rx Benefits

  • Cost Estimator

  • Telehealth

Go Mobile

App Store | Google play

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Customer Service: 1-800-225-3108
Monday – Thursday 7:00 a.m. to 5:00 p.m.
Friday 7:00 a.m. to 12:00 p.m. (Central Time)

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© 2022 Woodmen of the World Life Insurance Society
Omaha, Nebraska

The information on this page is a partial description of benefits, limitations, exclusions, and other provisions of the group benefits provided by Woodmen of the World Life Insurance Society (WoodmenLife). If there is a difference between the information in this summary and the plan document for each plan, the plan documents govern. Eligibility requirements apply to each of the benefits offered, criteria may include employment status and/or individual qualifications. For more detailed information, refer to the Summary Plan Description of each plan. WoodmenLife may amend these plans at any time. The description of the plan is not a guarantee of benefits and should not be construed as such.

This is the Life is a registered service mark of Woodmen of the World Life Insurance Society.

This is a solicitation of insurance and an agent may contact you.

Securities are offered through Woodmen Financial Services, Inc. (WFS), 1700 Farnam Street, Omaha, NE 68102, 877-664-3332, member FINRA/SIPC, a wholly owned subsidiary of Woodmen of the World Life Insurance Society (collectively “WoodmenLife”). Securities other than the WoodmenLife Variable Annuity are issued by companies that are not affiliated with WoodmenLife. This material is intended for general use with the public. WFS is not providing investment advice for any individual or any individual situation, and you should not look to this material for any investment advice. WFS has financial interests that are served by the sale of these products or services.

WoodmenLife Extras are available to members. An individual becomes a member by joining our shared commitment to family, community and country, and by purchasing a product. These extras are not contractual, are subject to change and have specific eligibility requirements, such as length of membership, number of qualifying members in household and/or qualifying event.

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A+ Financial Rating

This company was issued a A+ (Superior) rating by the A.M. Best Company, click for additional details. WoodmenLife has been awarded a rating of A+ (Superior), the second highest ranking out of 15, for its financial strength and operating performance in 2021 by A.M. Best, an independent rating company that is nationally recognized for its objective reporting and rating of insurers.

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