Click here to learn how the coverage guidelines were developed.
Coverage Guidelines Disclaimer
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  • CHA Health has developed Coverage Guidelines to assist in administering Plan benefits; they do not constitute medical advice. Coverage Guidelines can be highly technical and complex and are provided here for informational purposes only. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any Coverage Guidelines related to their coverage or condition with their treating provider.
  • Benefit plans vary in coverage and some plans may not provide coverage for certain services discussed in the Coverage Guidelines. Even though a Coverage Guideline may conclude that a particular service or supply is considered covered, this conclusion is not based upon the terms of your particular benefit plan. Each benefit plan contains its own specific provisions for coverage and exclusions. Members should consult the terms of their own benefit plan to determine if there are exclusions or other benefit limitations applicable to the particular service or supply. Coverage Guidelines do not constitute plan authorization, nor are they an explanation of benefits.
  • Coverage decisions are subject to all terms and conditions of the applicable benefit plan, including specific exclusions and limitations, and to applicable state and/or federal law. Coverage decisions are made on a case-by-case basis and Coverage Guidelines are used as a tool to assist in making coverage decisions.
  • Coverage Guidelines are subject to change without notice due to the constantly evolving nature of medical technology. Newly developed Coverage Guidelines may be added and some withdrawn from use as deemed necessary by CHA Health.
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Young Adult Visit - 18 to 21 Years
Screenings include vision/hearing & blood pressure. For protection, they can be screened for STDs and females will receive a Pap smear and pelvic examination.
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