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Knowledge Center What is preventive care? 

While health care is continually evolving, one thing remains true: prevention is the best medicine.  So what is preventive care, why is it important, and what does it include? 

Defining preventive care

Preventive care, sometimes called preventative care,  includes health care services, screenings, and early interventions designed to detect or prevent diseases and health conditions even before you experience signs or symptoms.   

Services can include routine physicals, blood work, the flu shot and other vaccines, blood pressure checks, or screenings for chronic diseases.   

The good news? These important preventive care services are typically covered by your insurance at no extra cost to you.

Preventive care for better outcomes

The earlier you identify and address health problems, the less likely it is they become worse. With early detection, common conditions like cancer, diabetes, and hypertension may be more treatable. Once an illness progresses, you're at increased risk for hospitalization, which can be costly and time-consuming.

What preventive care looks like

To access your check-ups, screenings, and vaccinations and to find out more about which preventive screenings are a fit for you, schedule an appointment with your doctor.

Routine wellness visits or annual physicals

Schedule a yearly visit with your primary care provider to catch problems before they start or before small issues turn into complex conditions.

Preventive medications

Depending on your health and screening results, your doctor may recommend preventive medications. An example of preventive medication is daily low-dose aspirin for heart attack. If prescribed, it's important to take medications as directed.

STI testing

If you are sexually active, it's important to test for sexually transmitted infections on a regular basis.

Vaccinations

Vaccinations guard against illnesses like the flu, HPV, and pneumonia. If you're traveling outside the U.S., talk to your doctor about vaccines to protect against region-specific diseases.

Screenings

Common screening tests include blood pressure readings, bone density scans, depression screening, cholesterol testing, Pap smear, prostate specific antigen testing, mammography, colonoscopy, and diabetes testing.

Lifestyle counseling

Depending on your history and risk profile, your doctor might provide counseling services and education that supports your overall health. Blue Cross NC members, for example, may qualify for free smoking cessation or nutrition counseling.

Beyond the scope of preventive care 

The importance of preventive care is in its ability to catch problems before they're apparent. Once you have signs, symptoms, or specific concerns, care shifts from preventive to diagnostic.   

In other words, your doctor goes from general monitoring to trying to figure out what's causing your symptoms.   

Some services can be either preventive or diagnostic, depending on why they’re ordered. For example, a mammogram done as a routine screening for someone without symptoms is considered preventive and may be covered at no cost under many health plans. If that same test is ordered to evaluate an existing concern, it’s considered diagnostic and may involve cost‑sharing. 

If you’re unsure, your doctor can help explain whether a service is preventive or diagnostic and what that means for you.

Take the confusion out of insurance

Get reliable answers to your insurance questions, such as how to get prior authorization and submitting a claim.

Choosing a primary care physician

Finding a primary care physician is an important part of maintaining your overall health. Here's how to find a primary care doctor who's right for you.

Diagnostic testing explained

What is a diagnostic test? Learn more about their purpose, preventive vs. diagnostic tests, and factors influencing insurance coverage.

A quick guide to preventive dentistry

It's crucial to focus on preventive dental care so you can avoid painful and costly problems that could impact your health.

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