Kids' Health

  • Boy in blue sweatshirt Vaccines, exams, kid germs! There’s always something, right? If you’re ever unsure whether your child needs to see a doctor or how urgent a situation is, your plan offers access to a 24-hour NurseLine. Flip your member ID card over and call the number listed. There, medical professionals are available 24-hours a day to help you assess the situation and determine if you need care.

    Parenting pro tip: Note your care options, both in person and virtually. Sign in and use Find a Doctor to find the nearest in-network urgent care location.

    Well-child exams

    The American Academy of Pediatrics recommends routine exams for immunizations, and screenings beginning at 2 to 5 days of age up to age 21. These regular visits allow you or your child (when age appropriate) to bring up any concerns about growth and development, hitting the milestones, stress, sleep, bathroom issues, nutrition, or safety. But, when providers assess symptoms or risk factors, the services are billed as diagnostic rather than preventative. Providers can also evaluate children for sports or school physicals at well-child exams. Sign into your online account and check your plan benefit booklet to see how your specific plan covers well-child visits.

    Dental

    Tooth decay is the most common children’s dental issue, and it’s preventable! Many pediatric dental plans cover fluoride treatments up to age 18. Screening and fluoride treatments can be done at the pediatrician or a dentist.

    Vision

    Basic vision screening at the doctor’s office is covered as part of the medical plan. If your child needs glasses, vision is included on most plans up to age 19.

    Immunization records

    Did you know that many states keep copies of your immunization records online? This could come in handy when the school asks for the date of your child’s MMR or if you need proof of immunization for travel. The Centers for Disease Control provides links to state’s immunization information.

    Mental health

    Part of a healthy childhood includes reaching emotional milestones, learning healthy social skills, and developing coping skills when things don’t go as planned. Anxiety, behavior, handling emotions, and attention-deficit/hyperactivity disorder (ADHD) are some common reasons children get help.

    Trust your gut. You know your child better than anyone else does. If something doesn’t feel right, mention it to your child’s healthcare provider. Premera doesn’t limit the number of mental health visits covered.

    Frequently asked member questions

  • Yes, this is usually done as part of the well-child exam. Ask your doctor to sign any forms you need.

    To find a mental health provider, many families get a referral from their pediatrician or through the child’s school. You can also sign into your online account and search for providers in your network. Some therapists have specialties, such as adolescents or LGBT youth. If you’re looking for a specific specialty, a web search can help narrow the list of providers. Our mental health page might also help.

    Therapy to help gain functions that were injured or didn’t develop normally, such as speech, occupational, and physical therapy can be provided in a clinical or home setting.


  • Benefits under your health plan may differ, so sign in and refer to your benefit booklet for information on what your specific health plan covers.

    Your health plan covers preventive care services as required by state and federal law. For more information, please review the "A" and "B" rated services on the United States Preventive Task Force, immunizations recommended by the Centers for Disease Control and Prevention and preventive care and screening recommended by the Health Resources and Services Administration. See the list on healthcare.gov.