• Screening coverage [visits per year, max benefits, amount met]
  • Diagnostic codes [V76.51, V16.0, V12.72, V10.05, V18.51]
  • Policy riders, exclusions, or waivers
  • Primary and Secondary insurance coverage
  • Coordination of benefits
  • Outpatient benefits
  • Facility copays and benefits
  • Deductible and Out of pocket
  • Precertification requirements
  • Specialist copay
  • Surgical copay
  • Referrals