Preventive Care vs. Diagnostic Care
It is very important to know the difference between preventive and diagnostic care. Preventive care helps protect you from getting sick. Diagnostic care is used to find the cause of existing illnesses. In order for preventive care to be covered at 100%, it must meet federal guidelines based on the age and gender of the patient, and frequency of the testing. For example, if your doctor wants you to get a colonoscopy because of your age, and you are within the age group for whom a colonoscopy is recommended as preventive care, it is covered 100% when you see an in-network provider. However, if a condition is identified and requires additional testing, it becomes a diagnostic procedure.If your doctor wants you to get a colonoscopy because you’re having symptoms of a problem, like pain, that is also considered diagnostic care and charges will be incurred.