2026 Preventive Care Rewards Program

Billing team should: (1) Review the covered preventive services list (annual wellness visit, breast cancer screening, colorectal cancer screening, health assessment, diabetic retinal eye exam) to ensure proper coding and documentation; (2) Verify that claims for these services are submitted with appropriate modifiers or documentation indicating preventive care status to support member rewards eligibility; (3) Cross-reference member eligibility with UPMC for Life plan verification to confirm participation in the rewards program; (4) Communicate with clinical staff to ensure providers document completion of preventive services accurately, as this supports both billing accuracy and member reward tracking. No prior authorization changes or new billing codes are introduced by this announcement.