Preventive Care Coverage

Dow believes in the power of prevention. For this reason, the following preventive health care options are covered at 100% without deductible. All active U.S. employees, family members enrolled in either MAP Plus Option 1 Low Deductible or Option 2 High Deductible and pre-Medicare retirees enrolled under MAP Plus Option 1 or 2 are eligible for preventive care coverage. This document provides information to help you take advantage of this benefit.

100% Coverage (No Calendar Year Deductible Applies)

  • Routine Physical Exam (starting at age 4)
  • Routine Gynecological Exam
  • Routine Eye Exam including refraction
  • One mammography per calendar year
  • One PAP test per calendar year
  • One PSA test per calendar year
  • Immunizations
  • Second opinions
  • Well baby examinations (7 during the baby’s first 12 months, 3 exams in the baby’s second 12 months of life and 3 exams in the third 12 months of life.)
  • Routine colorectal screening at age 50 or older including:
    • Colonoscopy – 10 years
    • Flexible Sigmoidoscopy – 5 years
    • Double-contrast barium enema – 5 years
    • Fecal occult blood tests (FOBT) – 1 year
  • Screening and counseling services for Obesity (HRC limits – age 0-22, unlimited visits; ages 22 and older, 26 visits per calendar year; of which 10 visits can be used for healthy diet counseling)
  • Dietary counseling (for hypertension / hyperlipidemia)
  • Sexually transmitted infection screenings

To take advantage of this benefit:

  1. Be sure to communicate to your personal care provider that you have a preventive health/wellness benefit available through your employer, so that they code your service properly (e.g. as a routine service)
  2. Most often your claim will be submitted for payment directly by your provider. Benefit payment will be determined by the diagnosis on your bill (from provider).
  3. If, for some reason, your health care provider does not submit your fees to Aetna, you may submit them directly by completing the Aetna Medical Claim Form, attaching your receipts, and mailing them to:

PO Box 981106
El Paso, TX 79998-1106

QUESTIONS? Call AETNA One Advocate toll free
Monday-Friday, 8:00 a.m. – 8:00 p.m. EST at 1-888-488-4488