Keeping on top of your wellness is simple with the Health Maintenance Screening Benefit, or the HMS Benefit. No additional forms are needed to get started. Once you submit your claim, you can receive benefit payments once per calendar year when you or those covered on your plan complete covered screenings.
22 Available Screenings
The HMS Benefit and certain tests are not available in all states or on all products. Reference your group certificate to determine which tests are offered.
You can receive benefit payments once per calendar year when you or those covered on your plan submit a claim after completing a covered screening.
- Abdominal aortic aneurysm ultrasound
- Ankle Brachial Index, or ABI, screening for peripheral vascular disease
- Biopsies for cancer
- Bone density screening
- Breast ultrasound
- Cancer antigen 125, or CA 125, blood test for ovarian cancer
- Cancer antigen 15-3, or CA 15-3, for breast cancer
- Carcinoembryonic antigen, or CEA, blood test for colon cancer
- Colonoscopy
- Complete Blood Count, or CBC
- Comprehensive Metabolic Panel, or CMP
- Novel infectious disease testing, such as COVID-19
- Electrocardiogram, or EKG
- Hemoccult stool analysis
- Hemoglobin A1C
- Human Papillomavirus, or HPV, vaccination
- Lipid panel
- Mammography
- Mental health assessment
- Pap smears or thin prep pap test
- Prostate specific, or PSA, test
- Stress test on a bicycle or treadmill
How the HMS Benefit Works
1. You receive a covered screening and submit a claim.
You won’t need any additional forms from your physician.
2. You’ll receive confirmation that we’ve received your claim.
We’ll review it for applicable coverages and decide the same day or within 48 hours.
3. Get benefit payments.
After approval, you’ll receive direct benefit payments within a few days, providing you with timely financial support.
Back-to-School Preparation
Filing an HMS Benefit claim online is easy and straightforward. You can even submit it while waiting in your child’s physician’s office.