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Preventive Care Benefits
for the Entire Family

*According to Healthcare.gov, all marketplace health plans and many other plans must cover the following list of preventive services without charging a copayment or coinsurance, even if you haven’t met your yearly deductible.

IMPORTANT: These services are free only when delivered by a doctor or other provider in your plan’s network; please check with your plan to be sure.

ADULTS

 

  • Abdominal aortic aneurysm one-time screening for men who have ever smoked

  • Alcohol misuse screening and counseling

  • Aspirin use to prevent cardiovascular disease for men & women of certain ages

  • Blood pressure screening

  • Cholesterol screening for adults of certain ages or at higher risk

  • Colorectal cancer screening for adults over 50

  • Depression screening

  • Diabetes (Type 2) screening for adults with high blood pressure

  • Diet counseling for adults at higher risk for chronic disease

  • Hepatitis B screening for people at high risk, including people from countries with 2% or more Hepatitis B prevalence, & U.S.-born people not vaccinated as infants & with at least one parent born in a region with 8% or more Hepatitis B prevalence.

  • Hepatitis C screening for adults at increased risk

  • Immunization vaccines for adults. Recommended ages, populations, and dosages vary:

    • Diphtheria

    • Hepatitis A

    • Hepatitis B

    • Herpes Zoster

    • Influenza

    • Measles

  • Lung cancer screening for adults 55-80 at high risk for lung cancer (current heavy smokers and people who have quit within the past 15 years)

  • Obesity screening and counseling

  • Sexually transmitted infection (STI) prevention counseling for adults at higher risk

WOMEN

 

 

 

 

  • Anemia screening & folic acid supplements for women who are or may become pregnant

  • Breastfeeding comprehensive support and counseling from trained providers, and access to breastfeeding Gestational diabetes screening for women

  • 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes

  • Rh Incompatibility screening for all pregnant women & follow-up testing for women at higher risk

  • Urinary tract or other infection screening

  • Breast cancer mammography screenings

  • every 1-2 years for women over 40 

  • Cervical cancer screening for sexually active women

  • Chlamydia infection screening for younger women & women at higher risk

  • Domestic and interpersonal violence screening and counseling for all women

  • Gonorrhea, HIV, & syphilis screening for sexually active women and women at higher risk

  • Sexually transmitted infections (STI) counseling for sexually active women and women at higher risk

  • Human Papillomavirus DNA test every 3 years for women with normal cytology results who are 30 or older

  • Osteoporosis screening for women over age 60 depending on risk factors

  • Tobacco use screening and interventions

  • Well-woman visits to get recommended services for women under 65

CHILDREN

 

 

  • Alcohol & drug use assessments for adolescents

  • Autism screening for children at 18 & 24 months

  • Behavioral assessments, blood pressure screening, height, weight & BMI measurements

  • Depression screening for adolescents

  • Developmental screening for children under 3 years of age

  • Dyslipidemia screening for higher risk of lipid disorders ages: 1-4, 5-10, 11-14,15-17 years

  • Fluoride chemoprevention supplements for children without fluoride in their water source

  • Hematocrit or hemoglobin screening for all children

  • HIV screening for adolescents at higher risk

  • Immunization vaccines from birth to age 18

    • Influenza, Haemophilus influenza type b, Hepatitis A & Hepatitis B, HPV, IDiphtheria, Tetanus,  Pertussis

  • (Whooping Cough), Inactivated Poliovirus, Measles/Mumps/Rubella , Meningococcal, Pneumococcal, Rotavirus, Varicella (Chickenpox)

  • Iron supplements for children ages 6 to 12 months at risk for anemia

  • Lead screening for children at risk of exposure

  • Medical history throughout development ages: 0-11 months, & 1-4, 5-10, 11-14,15-17 years

  • Obesity screening and counseling

  • Oral health risk assessment for young children ages: 0–11months, 1-4 years, 5-10 years

  • Sexually transmitted infection prevention, counseling, screening for adolescents at higher risk

  • Tuberculin testing for higher risk ages: 0-11 months, & 1-4, 5-10, 11-14,15-17 years

  • Vision screening for all children

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