Preventive hearing screenings only allowed under the well-child benefit. Applicable cost-share and deductible applies. Applicable cost-share and deductible applies when service is connected to a cancer screening or immunizations. Please note there is no copayment at the MTF for outpatient visits. Applied to outpatient services.
Prescription medications are often available as both brand name products and generic products.
Although the appearance of the generic product may be different, an FDA approved generic product has the same active ingredient as the brand name product. Generic drugs must be used to fill all prescriptions, unless the prescribing physician indicates a clinical reason that precludes the use of a generic product. Extra and Standard users must obtain a Nonavailability Statement. Extra and Standard cost-share after deductible has been satisfied. This is only a summary description of your coverage.