Preventative Health
Covered Preventative Benefits
All benefited UND staff and faculty have the following preventative health benefits with 100% coverage. (Note: Co-pay of $25 is required.) Please take advantage of these services for health maintenance and because it might SAVE YOUR LIFE to catch an early diagnosis of cancer or other disease.
Your primary care provider will counsel you as to how often preventative services are needed based on your age, gender and medical status.
Below is an overview of covered preventative benefits. It should not be used solely to determine whether your health care expenses will be paid. The written benefit plan governs the benefits available. If you have any questions, contact our NDPERS representatives at Sanford Health at 1-800-499-3416 to verify coverage.
Immunizations (100% covered)
- Hepatitis
- MMR (Measled/Mumps/Rubella)
- Chicken Pox (Varicella)
- DPT (Diptheria/Pertussis/Tetanus)
- HPV (Human Papillomavirus) – 100% coverage for males and females ages 9-26
- Pneumococcal Disease
- Hemophilus Influenza B
- Influenza Virus Vaccine – 100% coverage for flu shots and 100% coverage for flu mist for those ages 2-49.
- Meningococcal disease
- Polio
- Zoster Vaccine (shingles) – 100% coverage for ages 50 and older (updated in February 2012).
*Sanford Health follows the coverage recommendations published as policy by the Centers for Disease Control and Prevention.
1 Yearly Physical Exam
100% coverage once each calendar year (January-December).
Mammograms
100% coverage for those who are within the guidelines below:
- Females between the ages of 35-39 can have one covered mammogram
- Females 40 and older can have one mammogram every year
Pap Smears
Females may receive one pap smear per year with 100% coverage.
PSA (Prostate-Specific Antigen) Test
80% coverage for those who are within the guidelines below:
- Once per year for Caucasian males ages 50 and older
- Once per year for Black males ages 40 and older
- Once per year for males with a family history of prostate cancer ages 40 and older
FOBT (Fecal Occult Blood Testing)
Fecal occult blood testing checks for intestinal conditions and colorectal cancer.
100% coverage for those who are within the guidelines below:
- For males and females ages 50 and older
Well Child Care
100% coverage for the following:
- Birth through 12 months (7 visits)
- 13 months through 24 months (3 visits)
- 25 months through 72 months (1 visit per benefit period)
*Our Sanford Health plan follows recommendations of the American Academy of Pediatrics
Annual $200 benefit for OTHER preventive screenings
Preventative screening is available for members 6 and older up payable at 100% of the allowed charge up to a maximum benefit allowance of $200 per member per benefit period. (Co-pays will apply at the office visit.)
What does that mean?
If I want my cholesterol checked, I first call to determine the cost with the doctor’s office billing department. For my doctor office, it was $102.50. I asked my primary care provider to code this as PREVENTATIVE SCREENING and was able to get it 100% covered (since it was within the $200 allowance). After the $200 preventative maximum has been met (each calendar year), preventative services are paid according to your plan’s cost sharing amount.
You can also apply it to tests such as:
- Other cancer screenings
- Urinalysis testing
- Hemoglobin testing
- Blood sugar screening
Diabetes Prevention Program
Are you pre-diabetic and willing to prevent further implications?
The Center for Disease Control (CDC's) National Diabetes Prevention Program meets weekly for 16 weeks in a group setting, learning together different tools to help us to make healthy choices. There will also be 4 follow-up sessions (monthly) after the weekly sessions to help with accountability.
The program will focus on:
- Increasing activity (self goals)
- Improving food choices (keep diary)
- Losing weight, if overweight (5-7% of body weight)
Are you Pre-Diabetic?
Are two or more the following statements true for you?
- My blood pressure is 140/90 or higher, or I have been told that I have high blood pressure.
- I have been told that my cholesterol levels are not normal.
- I am fairly inactive. I do NOT exercise more often than two times a week.
- I have or had a parent with diabetes.
- I am 45 years of age or older.
- I have had gestational diabetes (diabetes during pregnancy).
- I gave birth to a baby weighing more than 9 pounds.
- I have been told by a doctor that I am overweight (BMI >25).
- I have or had a brother or sister with diabetes.
If so, then you would be eligible for the CDC's National Diabetes Prevention Program.
Register for Diabetes Program Prevention
To ask questions and register, contact Molly Soeby, NDSU Extension at 701.780.8229.
Ergonomic Assessment
Get your free ergonomic assessment! Our posture at our desks can have a profound effect on our day-to-day body functioning and can lead to chronic health issues including repetitive muscle strain or other preventable health risks if not corrected.
UND's Office of Safety offers free 1:1 ergonomic assessments to address your unique needs. Contact the Office of Safety at: 701-777-3226 to schedule an appointment.
Also, take a free on-line class, such as Office Ergonomics at your convenience by visiting the Office of Safety.