Preventive Services Now Covered at 100%

If your health insurance plan began on or after Sept. 23, 2010, you and anyone covered by your plan can get the following preventive services from an in-network provider without paying a co-payment or coinsurance, and regardless of whether your deductible or out-of-pocket maximum is met yet.

Covered Preventive Services for Adults

• Abdominal aortic aneurysm one-time screening for men of specified ages who’ve smoked
• Alcohol misuse screening and counseling
• Aspirin use for men and women of certain ages
• Blood pressure screening for all adults
• Cholesterol screening for adults of certain ages or at higher risk
• Colorectal cancer screening for adults 50+
• Depression screening for adults
• Type 2 diabetes screening for adults with high blood pressure
• Diet counseling for adults at higher risk for chronic disease
• HIV screening for all adults at higher risk
• Immunizations (doses, recommended ages, and recommended populations vary):
• Hepatitis A
• Hepatitis B
• Herpes zoster
• Human papillomavirus
• Influenza
• Measles, mumps, rubella
• Meningococcal
• Pneumococcal
• Tetanus, diphtheria, pertussis
• Varicella

• Obesity screening and counseling for all adults
• Sexually transmitted infection (STI) prevention counseling for adults at higher risk
• Tobacco use screening for all adults and cessation interventions for tobacco users
• Syphilis screening for all adults at higher risk

Covered Preventive Services for Women, Including Pregnant Women

• Anemia screening on a routine basis for pregnant women
• Bacteriuria urinary tract or other infection screening for pregnant women
• BRCA counseling about genetic testing for women at higher risk
• Breast cancer mammography screenings every one to two years for women over 40
• Breast cancer chemoprevention counseling for women at higher risk
• Breast feeding interventions to support and promote breast feeding
• Cervical cancer screening for sexually active women
• Chlamydia infection screening for younger women and other women at higher risk
• Folic acid supplements for women who may become pregnant
• Gonorrhea screening for all women at higher risk
• Hepatitis B screening for pregnant women at their first prenatal visit
• Osteoporosis screening for women over age 60 depending on risk factors
• Rh incompatibility screening for all pregnant women and follow-up testing for women at higher risk
• Tobacco use screening and interventions for all women, and expanded counseling for pregnant tobacco users
• Syphilis screening for all pregnant women or other women at increased risk

Covered Preventive Services for Children

• Alcohol and drug use assessments for adolescents
• Autism screening for children at 18 and 24 months
• Behavioral assessments for children of all ages
• Cervical dysplasia screening for sexually active females
• Congenital hypothyroidism screening for newborns
• Developmental screening for children under age three, and surveillance throughout childhood
• Dyslipidemia screening for children at higher risk of lipid disorders
• Fluoride chemoprevention supplements for children without fluoride in their local water source
• Gonorrhea preventive medication for the eyes of all newborns
• Hearing screening for all newborns
• Height, weight and body mass index measurements for children
• Hematocrit or hemoglobin screening
• Hemoglobinopathies or sickle cell screening for newborns
• HIV screening for adolescents at higher risk
• Immunization vaccines for children from birth to age 18 (doses, recommended ages, and recommended populations vary):
• Diphtheria, tetanus, pertussis
• Haemophilus influenzae type B
• Hepatitis A
• Hepatitis B
• Human papillomavirus
• Inactivated poliovirus
• Influenza
• Measles, mumps, rubella
• Meningococcal
• Pneumococcal
• Rotavirus
• Varicella
• Iron supplements for children ages six to 12 months at risk for anemia
• Lead screening for children at risk of exposure
• Medical history for all children throughout development
• Obesity screening and counseling
• Oral health risk assessment for young children
• Phenylketonuria (PKU) screening for this genetic disorder in newborns
• Sexually transmitted infection (STI) prevention counseling for adolescents at higher risk
• Tuberculin testing for children at higher risk of tuberculosis
• Vision screening for all children