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Preventive, Wellness, and Chronic Disease Management Services

Preventive services help stop health problems before they start. Through wellness check-ups, vaccines and chronic disease management, your primary care provider (PCP) is here to keep you and your family healthy. Call your doctor to schedule your preventive service today!

SCFHP covers the preventive services recommended by the United States Preventive Services Task Force (USPSTF). Preventive, wellness, and chronic disease management services are listed below. Services vary depending on the SCFHP benefit plan you are enrolled in. Please review chapter four of the SCFHP Medi-Cal Member Handbook or the SCFHP DualConnect Plan (HMO D-SNP) for detailed information on your covered preventive services.

Below are services that may be covered by your benefit plan:

  • Annual Wellness Visit
    • "Welcome to Medicare" preventative visit for DualConnect members
  • Abdominal aortic aneurysm screening
  • Alcohol misuse screening and counseling
  • Advisory Committee for Immunization Practices recommended vaccines including but not limited to:
    • BCG (Tuberculosis)
    • COVID-19
    • DTaP/Tdap/Td
    • Hepatitis A
    • Hepatitis B
    • Hib
    • HPV
    • Influenza
    • Measles, Mumps, and Rubella
    • Meningococcal
    • Pneumococcal
    • Polio
    • Rotavirus
    • Varicella (Chickenpox)
  • Bone mass measurement
  • Cardiovascular (heart) disease testing and reduction visit (therapy for heart disease)
  • Cervical and vaginal cancer screening
  • Chiropractic services
  • Colorectal cancer screening
  • Depression screening
  • Diabetes screening and self-management:
    • Blood glucose monitors and blood glucose testing strips
    • Insulin supplies
    • Podiatry services (related to feet)
    • Retinal eye exams
    • Diabetes outpatient self-management training, services, and supplies
  • Medical nutrition therapy
  • Early and Periodic Screening, Diagnostic and Treatment (EPSDT) for Medi-Cal members ages 0-21.
  • Family planning services
  • Home health care
  • Health education on topics such as:
    • How to stop smoking or tobacco use
    • Nutrition and weight management
    • Self-management for chronic conditions like asthma or hypertension
    • Pregnancy and new baby
    • Parenting
    • Programs for children (healthy living day camp, asthma camp, and swim lessons)
    • Stress management
    • Anger management
  • HIV screening
  • Lung Cancer Screening
  • Medical nutrition therapy
  • Medicare Diabetes Prevention Program (MDPP) for DualConnect members
  • Obesity screening and therapy to keep weight down
  • Preventive services for women such as cervical cancer screening and breast cancer screening
  • Prostate cancer screening exams
  • Sexually transmitted infections (STIs) screening and counseling
  • Vision care

Call your doctor to see if you should schedule a preventive care visit today!

DualConnect Sample ID Card

Santa Clara Family Health Plan DualConnect Plan (HMO D-SNP) is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the SCFHP DualConnect Member Handbook.

Enrollment in Santa Clara Family Health Plan DualConnect Plan (HMO D-SNP) (DualConnect) depends on contract renewal.

Important Message for SCFHP DualConnect Members About What You Pay for Vaccines – SCFHP DualConnect covers most Part D vaccines at no cost. Call Customer Service for more information.

Last updated 12/27/2022