Page 3 • CA15-3 (blood test for breast cancer) • Breast Cancer Screening (clinical breast exam, mammography, MRI, thermography, ultrasound) • CA 125 (blood test for ovarian cancer) • Colorectal Cancer Screening (fecal occult blood test, colonoscopy, sigmoidoscopy) • CEA (blood test for colon cancer) • Lipid panel(cholesterol, triglycerides, HDL, LDL) • Pap smear • Prostate Cancer Screening (digital rectal exam, PSA blood test) Qualifying exams and screenings for Wellness Screening Benefit • Skin Cancer Screening • Diabetes tests (fasting blood glucose test, hemoglobin A1c) • Cardiac exercise stress test • Electrocardiogram (ECG)-resting or stress • Chest x-ray • Hemoccult stool analysis • Serum protein electrophoresis • Carotid Doppler • Echocardiogram • Immunizations • Interscholastic Sports Physical Exam Coverage Details Coverage Basis 24-Hour Age Reduction None Maternity Waiting period No Waiting Period Pre-Existing Condition Limitation None Annual Maximum Payout Unlimited Lifetime Maximum Payout Unlimited Portability To age 70 Understanding your benefits Commonly Used Terms Accident An event that an average person would consider sudden and unforeseeable and which causes injury to an insured. Illnesses of any kind are not considered an accident. Common carrier A phrase referring to commercial airplanes, trains, buses, subways, ferries, etc. Open reduction Surgical treatment or repair of an injury. Closed reduction Non-surgical treatment or repair of an injury. Frequently Asked Questions When can I enroll? You can enroll when you are initially eligible for benefits and any subsequent annual enrollment or life status change. • • • • • • • • • • • • • • • • • • •