Well Woman Exam: What’s Included And What Will My Insurance Cover?

Well Woman Exam: What’s Included And What Will My Insurance Cover?

A Well Woman Exam is a yearly visit to your gynecologist which includes a breast exam, a PAP smear, a pelvic exam, and birth control counseling. Well Woman Exams are extremely important in preventive care and early detection of diseases. Our doctors are all-female OB/GYN experts, highly skilled in diagnosing and treating any and all OB/GYN conditions.


WHAT A WELL WOMAN EXAM INCLUDES

BREAST EXAM 

During the Breast Exam, the breasts are inspected for changes in shape, skin texture, nipple discharge and lumps. Depending upon age, a mammogram and a bone density test may also be requested.

PELVIC EXAM & PAP SMEAR 

During a pelvic exam, the vagina and labia are inspected for lesions and discharges. A speculum is placed in the vagina to evaluate the upper vagina and to perform a HPV test and the PAP smear. Cultures may also be obtained to screen for sexually transmitted diseases, depending on age, and other circumstances. The uterus and ovaries are also examined.

CONTRACEPTIVE COUNSELING

A Well Woman Exam includes a discussion about birth control options with your provider.


WHAT HAPPENS IF YOU HAVE A NEW PROBLEM OR WANT TO DISCUSS A CHRONIC CONDITION WHEN YOU COME FOR YOUR WELL WOMAN EXAM?
Unfortunately, scheduled appointment times do not allow for both.  Insurances require healthcare providers to separate Well Woman Exams from problem visits, including detailed discussions of chronic conditions. In the case that  a new problem is present during a well woman exam, we always suggest patients to use the appointment to discuss their problems, especially if it is an urgent issue , and to reschedule their Well Woman Exam to the first next appointment available

WHAT WILL YOUR INSURANCE COVER?
Please check your insurance policy to make sure you are covered for yearly preventive exams, including a Pap smear and pelvic/breast exam. Different insurance policies have different rules for preventive care coverage. Most insurance companies allow for only one annual exam per 12-month period (and some will not pay for a visit even a few days before the year is up).

I HAVE INSURANCE BUT YOU SENT ME AN INVOICE!
Complete Women Care bills the standard fees for all Well Woman Exams to all insurances, but what your insurance will cover is up to the health plan you signed up for.  Your deductible, co-insurance, or co-payments my apply. So yes, it might happen that you have high deductible or co-payment. We recommend getting familiar with the plan you signed up for, and your insurance benefits before the visit.


MEDICARE
Medicare covers routine PAP smears and breast exams every two years. If you are considered high risk, Medicare will pay for annual PAP smears and breast exams.

MEDI-CAL
Unfortunately, we do not accept Medical.

CARE CREDIT
We accept Care Credit with 0% interest rates for all our patients.

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