What's The Difference Between Preventive and Diagnostic Care?

Nevada Insurance Enrollment Explains: The Type of Care You Get Can Impact Your Out-of-Pocket Costs
Difference Between Preventive and Diagno
Difference Between Preventive and Diagno
LAS VEGAS - Dec. 30, 2021 - PRLog -- Your routine visit with your primary doctor may include preventative care and diagnostic care. While you may not notice much difference between these two care types during your visit, your doctor will bill the health insurance company differently for these services, and the health insurance company will pay for them differently.

Most health insurance plans cover certain preventative services at no cost to you, provided the doctor has billed the insurance company for "preventive services". However, when you obtain diagnostic care, you will usually pay a deductible, co-pay, or co-insurance. Understanding the difference between preventative care and diagnostic care can help you know what to expect to pay.

What Is Preventative Care?
Preventative care includes the health services you obtain to stay well and avoid developing life-threatening conditions. During a preventative care visit, your doctor may review your likelihood of developing a condition such as high blood pressure or diabetes and discuss what you can do to lower your risk. This type of care also includes routine checkups, preventative screening tests, annual wellness visits and most immunizations. The purpose of this type of care is to catch potential problems before symptoms develop. For example, a Colonoscopy is preventative, (unless there are polyps that need to be removed) then the doctor will not bill the insurance for a preventative procedure but instead bill it as a diagnostic procedure.

What Is Diagnostic Care?
Diagnostic medical care can diagnose, monitor, or treat existing problems. This may include following up on abnormal test results to further investigate a problem or treat certain symptoms. It may also include procedures such as removing moles, skin tags or treating back pain. As in the paragraph above, removing polyps during a preventive colonoscopy now makes the procedure not just an examination, but a diagnostic procedure. The polyps could be sent to the laboratory for further analysis to determine if anything is cancerous. All diagnostic charges will involve your deductible, co-insurance, or co-pay.

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