Preventive Care Coverage ... Prevention is the first step!

For active employees and non-Medicare retirees

Many of the recommended preventive services provided are covered by the State of Maine Health Plan and are at no cost to you when the services are performed by an in-network provider unless stated otherwise. Although it is important to coordinate your care with your primary care doctor, referrals are not required for these services. For more information regarding the coverage effective July 1, 2018, see the Anthem Preventive Care flier (pdf).

Routine Physical Exams: Routine physicals for adults & children are covered at 100% with no copay with an in-network provider.

Routine Eye Exams: These exams are covered at 100% with no copay once per calendar year when provided by an in-network doctor.

Routine Gynecological Care Exams: These exams are covered at 100% with no copay when provided by an in-network doctor or specialist.

Immunizations: Immunizations recommended by the American Medical Association are covered at 100% with no copay when given by an in-network provider. For more information, the Centers for Disease Control and Prevention (CDC) recommended schedules for the current year can be found here: from birth through age 6, from age 7 through 18 and for adults.

Mammograms: Screening and diagnostic mammograms are covered at 100% with no deductible at both the in-network and out-of-network benefit level.

Colorectal Cancer Screenings: The coverage for routine and medically necessary screenings is 100% no deductible.

Routine Digital Rectal Exam/Prostate-Specific Antigen Test: One exam per calendar year is covered at 100% no deductible. There is no coverage for these exams if you go outside of the Anthem network.

Lung Cancer Screening: Lung cancer screenings are provided for eligible members at no cost. To learn more about the eligibility requirements, visit the U.S. Preventive Services Task Force website.

Diet and Physical Activity: What's the Cancer Connection?

How much do daily habits like diet and exercise affect your risk for cancer? Much more than you might think. Research has shown that poor diet and not being active are 2 key factors that can increase a person's cancer risk. The good news is that you do something about this. Besides quitting smoking, some of the most important things you can do to help reduce your cancer risk are:

• Get to and stay at a healthy weight throughout life.
• Be physically active on a regular basis.
• Make healthy food choices with a focus on plant-based foods.

The evidence for this is strong. The World Cancer Research Fund estimates that about 20% of all cancers diagnosed in the US are related to body fatness, physical inactivity, excess alcohol consumption, and/or poor nutrition, and thus could be prevented.

Control your weight.

Getting to and staying at a healthy weight is important to reduce the risk of cancer and other chronic diseases, such as heart disease and diabetes. Being overweight or obese increases the risk of several cancers, including those of the breast (in women past menopause), colon and rectum, endometrium (the lining of the uterus), esophagus, pancreas, and kidney, among others. Being overweight can increase cancer risk in many ways. One of the main ways is that excess weight causes the body to produce and circulate more estrogen and insulin, hormones that can stimulate cancer growth.

What's a healthy weight?

One of the best ways to get an idea if you are at a healthy weight is to check your Body Mass Index (BMI), a score based on the relationship between your height and weight. Use our easy online BMI calculator to find out your score. To reduce cancer risk, most people need to keep their BMIs below 25. Ask your doctor what your BMI number means and what action (if any) you should take. If you are trying to control your weight, a good first step is to watch portion sizes, especially of foods high in calories, fat, and added sugars. Also try to limit your intake of high-calorie foods and drinks. Try writing down what and how much you eat and drink for a week, then see where you can cut down on portion sizes, cut back on some not-so-healthy foods and drinks, or both! For those who are overweight or obese, losing even a small amount of weight has health benefits and is a good place to start.

Be more active.

Watching how much you eat will help you control your weight. The other key is to be more physically active. Being active helps reduce your cancer risk by helping with weight control. It can also help improve your hormone levels and the way your immune system works. More good news - physical activity helps you reduce your risk of heart disease and diabetes, too! So grab your athletic shoes and head out the door! The latest recommendations for adults call for at least 150 minutes of moderate intensity or 75 minutes of vigorous intensity activity each week, or an equivalent combination, preferably spread throughout the week. This is over and above usual daily activities like using the stairs instead of the elevator at your office or doing housework. For kids, the recommendation is at least 60 minutes of moderate or vigorous intensity activity each day, with vigorous intensity activity occurring at least 3 days each week. Moderate activities are those that make you breathe as hard as you would during a brisk walk. This includes things like walking, biking, even housework and gardening. Vigorous activities make you use large muscle groups and make your heart beat faster, make you breathe faster and deeper, and also make you sweat. It's also important to limit sedentary behavior such as sitting, lying down, watching television, or other forms of screen-based entertainment. Being more physically active than usual, no matter what your level of activity, can have many health benefits.

Eat healthy foods.

Eating well is an important part of improving your health and reducing your cancer risk. Take a good hard look at what you typically eat each day and try these tips to build a healthy diet plan for yourself and your family: Choose foods and drinks in amounts that help you get to and maintain a healthy weight.

• Read food labels to become more aware of portion sizes and calories. Be aware that “low-fat” or “non-fat” does not necessarily mean “low-calorie.”
• Eat smaller portions when eating high-calorie foods.
• Choose vegetables, whole fruit, legumes such as peas and beans, and other low-calorie foods instead of calorie-dense foods such as French fries, potato and other chips, ice cream, donuts, and other sweets.
• Limit your intake of sugar-sweetened beverages such as soft drinks, sports drinks, and fruit-flavored drinks.
• When you eat away from home, be especially mindful to choose food low in calories, fat, and added sugar, and avoid eating large portion sizes.

Limit how much processed meat and red meat you eat.

• Minimize your intake of processed meats such as bacon, sausage, lunch meats, and hot dogs.
• Choose fish, poultry, or beans instead of red meat (beef, pork, and lamb).
• If you eat red meat, choose lean cuts and eat smaller portions.
• Prepare meat, poultry, and fish by baking, broiling, or poaching rather than by frying or charbroiling.

Eat at least 2 ½ cups of vegetables and fruits each day.

• Include vegetables and fruits at every meal and snack.
• Eat a variety of vegetables and fruits each day.
• Emphasize whole fruits and vegetables; choose 100% juice if you drink vegetable or fruit juices.
• Limit your use of creamy sauces, dressings, and dips with fruits and vegetables.

Choose whole grains instead of refined grain products.

• Choose whole-grain breads, pasta, and cereals (such as barley and oats) instead of breads, cereals, and pasta made from refined grains, and brown rice instead of white rice.
• Limit your intake of refined carbohydrate foods, including pastries, candy, sugar-sweetened breakfast cereals, and other high-sugar foods.

If you drink alcohol, limit how much

People who drink alcohol should limit their intake to no more than 2 drinks per day for men and 1 drink per day for women. The recommended limit is lower for women because of their smaller body size and slower breakdown of alcohol. A drink of alcohol is defined as 12 ounces of beer, 5 ounces of wine, or 1 ½ ounces of 80-proof distilled spirits (hard liquor). In terms of cancer risk, it is the amount of alcohol, not the type of alcoholic drink that is important. These daily limits do not mean it's safe to drink larger amounts on fewer days of the week, since this can lead to health, social, and other problems.

Reducing cancer risk in our communities

Adopting a healthier lifestyle is easier for people who live, work, play, or go to school in an environment that supports healthy behaviors. Working together, communities can create the type of environment where healthy choices are easy to make. We all can be part of these changes: Let's ask for healthier food choices at our workplaces and schools. For every junk food item in the vending machine, ask for a healthy option, too. Support restaurants that help you to eat well by offering options like smaller portions, lower-calorie items, and whole-grain products. And let's help make our communities safer and more appealing places to walk, bike, and be active.

The bottom line

Let's challenge ourselves to lose some extra pounds, increase our physical activity, make healthy food choices, limit alcohol, and look for ways to make our communities healthier places to live, work, and play.
The American Cancer Society medical and editorial content team
Our team is made up of doctors and master's-prepared nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing.

Marathon in a Month

Start your “new behavior change” now by registering for Marathon in a Month!

Can you complete 26.2 miles of walking and running by Halloween?

Lace up those shoes and get ready to participate in Marathon in a Month. This physical activity challenge starts October 1 and goes to October 31. Registration is open NOW!

Marathon in a Month is a challenge to complete 26.2 (marathon) or 50 (ultra-marathon) or 100 (ultra-ultra-marathon) miles between Oct 1 and Oct 31.

Join MaineDOT employees (and your family members can join too!!!!) this October in the fun fitness challenge, as we log our marathon miles, maybe even win healthy prizes and top the leaderboards provided by Healthcode.

How to Register for Marathon in a Month:

1. Visit https://events.healthcode.org/marathon2018
2. Once on the site, scroll to the bottom section of the page where is says “REGISTER HERE.” Do not click “REGISTER” in the blue box in upper right-hand corner.
3. If you have registered on the HealthCode website for previous programs, select the “Returning Users” button.
4. You will land on the Edit Profile page; if this is your first time click on “Select your Organization” pull-down, select our organization and your “Select Group/Team” pulldown.
5. Finally select your Mile Goal for Marathon in a Month and click “Complete Registration”.

IF NEW:

1. Go to the BRONZE category, enter “$0.00.” (It's FREE!) and click “SELECT.”
2. The next screen will bring you to “NEW REGISTRANTS.” You will need to create a login password.
3. The next screen will ask for your address and you may use your work address.
4. On the Edit Profile page, choose “MaineDOT” from the “Select Your Organization” pull-down.
5. Then choose your department/location from the “Select Your Group/Team” pull-down. If your family member is also participating, they should use your work location.
6. Select your Mile Goal for Marathon in a Month and click “Complete Registration”.
7. Make sure all other required blanks are completed and click “Complete Registration.”

You are now registered! Congratulations on taking the first step for a healthier you!

Now print out your Marathon in a Month Race Bib, take a picture holding or wearing it, and send to me to post on the ChallengeME website!