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Understanding Important Health Care Terms

Co-Pay

This is the set amount you pay for covered services whether or not you have met your annual deductible. Normally you’re responsible to pay $35 per doctor visit. Restrictions apply. 

Responsibility Share

This is the fixed percentage of the cost you will be responsible to pay after you reach your annual deductible for the calendar year.
​Restrictions apply. 

Deductible 

This is the amount you pay annually before the health plan begins paying for most covered services. 

Annual Out-of-Pocket Max

This is the most you will pay for the calendar year before your plan starts paying 100% for most covered services. 

Change Your Coverage

Life Happens. You get married, divorced, a new baby becomes a new dependent, etc. But with Tatanca Heath Care, you always remain in control of your health and your family's, with our care. Simply contact Tatanca at (844) 428-2686 and we will update your coverage as needed. You may want to contact your HR Director if you are paying through payroll deduction. Together, we’ll make sure you are covered for your healthy tomorrows.

Minimum Essential Coverage Wellness Services
The following services have been identified as meeting the definition of Minimum Essential Coverage under the Affordable Care Act. This information is intended as a general overview.
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Preventative Services – Adult
  1. Abdominal Aortic Aneurysm one time screening
  2. Alcohol Misuse screening and counseling
  3. Aspirin use for men and women of certain ages
  4. Blood pressure screening for adults
  5. Cholesterol screening for adults
  6. Colorectal Cancer screening for adults starting at age 50
  7. Depression screening for adults
  8. Type 2 Diabetes screening for adults
  9. Diet counseling for adults
  10. HIV screening for adults
  11. Obesity Screening and counseling for adult
  12. Syphilis screening for adults
  13. Sexually Transmitted Infection prevention counseling for adults
  14. Tobacco Use screening for all adults and cessation interventions for tobacco users 
  15. Immunization vaccines for adults:
​• Hepatitis A
• Hepatitis B
• Herpes Zoster
• Human Papillomavirus
• Influenza (flu shot)
• Measles, Mumps, Rubella
• Meningococcal
• Pneumococcal
• Tetanus, Diphtheria, Pertussis
​• Varicella
Preventive Services for Women
  1. Anemia screening
  2. BRCA counseling about genetic testing for women at higher risk
  3. Breast Cancer Mammography screening
  4. Breast Cancer Chemoprevention counseling
  5. Cervical Cancer screening
  6. Chlamydia Infection screening
  7. Contraception – Food and Drug Administration-approved contraceptive methods, sterilization procedures and patient education and counseling
  8. Domestic and interpersonal violence screening and counseling
  9. Folic Acid supplements for women who may become pregnant
  10. Gestational Diabetes screening
  11. Gonorrhea screening
  12. Hepatitis B screening
  13. Human Immunodeficiency Virus screening and counseling
  14. Human Papillomavirus DNA test
  15. Osteoporosis screening over age 60
  16. Sexually Transmitted Infections counseling
  17. Syphilis screening
  18. Tobacco Use screening and interventions for all women, and expanded counseling for pregnant tobacco usersT
  19. Well-woman visits to obtain recommended preventive services ​

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Preventive Services for Children
  1. Alcohol and Drug Use assessments
  2. Blood Pressure screening
  3. Cervical Dysplasia screening
  4. Congenital Hypothyroidism screening for newborns
  5. Depression screening for adolescents
  6. Developmental screening for children under age 3, and surveillance throughout childhood
  7. Dyslipidemia screening
  8. Fluoride Chemoprevention supplements for children
    without fluoride in their water source
  9. Gonorrhea preventive medication for the eyes of all
    newborns
  10. Hearing screening for all newborns
  11. Height, Weight and Body Mass Index measurements
  12. . Hematocrit or Hemoglobin screening
  13. Hemoglobinopathies or sickle cell screening
  14. HIV screening for adolescents
  15.  Medical History for all children throughout development ages
  16.  Sexually Transmitted Infection prevention counseling and
  17. Immunization vaccines for children from birth to age 18:
  • Diphtheria, Tetanus, Pertussis
  • Haemophilus influenza type B
  • Human Papillomavirus
  • Inactivated Poliovirus
  • Influenza (flu shot)
  • Measles, Mumps, Rubella
  • Meningococcal
  • Pneumococcal
  • Rotavirus
  • Varicella ​
​​18. Iron supplements for children up to 12 months
​19. Lead screening
20. Autism screening
21. Behavioral assessments
​22. Obesity screening and counseling
23. Oral Health risk assessment for young children 24. Tuberculin testing
25. Phenylketonuria (PKU) screening in newborns