Well-child visits are routine appointments recommended by the American Academy of Pediatrics to physically examine and check in on your child’s overall health and development during their milestone years. During well-child visits, your child’s doctor can talk to you about nutrition; safety; social, mental and behavioral development; physical growth and the importance of and recommended schedule for vaccines.

Will I get a bill following my child’s physical?

Your insurance company may consider these appointments “routine” or “preventive” physicals, and Prevea will code the appointment and bill your insurance accordingly. However, billing and coding guidelines are complex and can result in confusion.

If during a routine or preventive physical you discuss a new condition or a change in an existing condition (for example, a specific complaint or illness), and it requires additional consultation or lab work, you may be billed a second code for a diagnostic or problem-oriented office visit. Since these are not routine or preventive codes, your insurance company may end up charging you an additional co-pay/deductible/co-insurance, etc.

What types of things are typically NOT covered by the prevention benefit of most insurance companies?

• Non-routine lab work
• Diagnostic testing
• Medication check

If you have questions about what may or may not be covered by insurance, click here or contact your insurance company before your child’s physical.

Well-baby exams and vaccines

Newborn to 30 months old
There is a lot that happens during the first year of baby’s life. Well-child exams occur quite frequently to ensure your child grows into a healthy walking and talking toddler.  Learn more about the first year of baby’s life.

Immunizations have reduced many diseases to very low levels in the United States. Recommended vaccines change as new immunizations are developed. In addition, new vaccines may be developed, and shortages may occur. Ask your child’s physician if you are interested in a child and adolescent immunization schedule.  Learn about why it’s important to get your child vaccinated.

Well-child physicals

Starting at 3 years old, the American Academy of Pediatricians (AAP) recommends yearly physical exams, and every year thereafter until age 22.

Find a  pediatrician or  family medicine provider near you.