8/13/2015 PreventiveServicesCoveredUndertheAffordableCareAct|HHS.

gov/healthcare

PreventiveServicesCoveredUnderthe
AffordableCareAct
IfyouhaveanewhealthinsuranceplanorinsurancepolicybeginningonorafterSeptember23,2010,
thefollowingpreventiveservicesmustbecoveredwithoutyourhavingtopayacopaymentorco
insuranceormeetyourdeductible.Thisappliesonlywhentheseservicesaredeliveredbyanetwork
provider.

CoveredPreventiveServicesforAdults
CoveredPreventiveServicesforWomen,IncludingPregnantWomen
CoveredPreventiveServicesforChildren

15CoveredPreventiveServicesforAdults
1. AbdominalAorticAneurysmonetimescreeningformenofspecifiedageswhohaveever
smoked
2. AlcoholMisusescreeningandcounseling
3. Aspirinuseformenandwomenofcertainages
4. BloodPressurescreeningforalladults
5. Cholesterolscreeningforadultsofcertainagesorathigherrisk
6. ColorectalCancerscreeningforadultsover50
7. Depressionscreeningforadults
8. Type2Diabetesscreeningforadultswithhighbloodpressure
9. Dietcounselingforadultsathigherriskforchronicdisease
10. HIVscreeningforalladultsathigherrisk
11. Immunizationvaccinesforadultsdoses,recommendedages,andrecommendedpopulations
vary:
HepatitisA
HepatitisB
HerpesZoster
HumanPapillomavirus
Influenza(FluShot)
Measles,Mumps,Rubella
Meningococcal
Pneumococcal
Tetanus,Diphtheria,Pertussis
Varicella
Learnmoreaboutimmunizationsandseethelatestvaccineschedules.
12. Obesityscreeningandcounselingforalladults
13. SexuallyTransmittedInfection(STI)preventioncounselingforadultsathigherrisk
14. TobaccoUsescreeningforalladultsandcessationinterventionsfortobaccousers
15. Syphilisscreeningforalladultsathigherrisk

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22CoveredPreventiveServicesforWomen,IncludingPregnant
Women
Theeightnewpreventionrelatedhealthservicesmarkedwithanasterisk(*)mustbecoveredwithno
costsharinginplanyearsstartingonorafterAugust1,2012.

1. Anemiascreeningonaroutinebasisforpregnantwomen
2. Bacteriuriaurinarytractorotherinfectionscreeningforpregnantwomen
3. BRCAcounselingaboutgenetictestingforwomenathigherrisk
4. BreastCancerMammographyscreeningsevery1to2yearsforwomenover40
5. BreastCancerChemopreventioncounselingforwomenathigherrisk
6. Breastfeedingcomprehensivesupportandcounselingfromtrainedproviders,aswellasaccessto
breastfeedingsupplies,forpregnantandnursingwomen*
7. CervicalCancerscreeningforsexuallyactivewomen
8. ChlamydiaInfectionscreeningforyoungerwomenandotherwomenathigherrisk
9. Contraception:FoodandDrugAdministrationapprovedcontraceptivemethods,sterilization
procedures,andpatienteducationandcounseling,notincludingabortifacientdrugs*
10. Domesticandinterpersonalviolencescreeningandcounselingforallwomen*
11. FolicAcidsupplementsforwomenwhomaybecomepregnant
12. Gestationaldiabetesscreeningforwomen24to28weekspregnantandthoseathighriskof
developinggestationaldiabetes*
13. Gonorrheascreeningforallwomenathigherrisk
14. HepatitisBscreeningforpregnantwomenattheirfirstprenatalvisit
15. HumanImmunodeficiencyVirus(HIV)screeningandcounselingforsexuallyactivewomen*
16. HumanPapillomavirus(HPV)DNATest:highriskHPVDNAtestingeverythreeyearsfor
womenwithnormalcytologyresultswhoare30orolder*
17. Osteoporosisscreeningforwomenoverage60dependingonriskfactors
18. RhIncompatibilityscreeningforallpregnantwomenandfollowuptestingforwomenathigher
risk
19. TobaccoUsescreeningandinterventionsforallwomen,andexpandedcounselingforpregnant
tobaccousers
20. SexuallyTransmittedInfections(STI)counselingforsexuallyactivewomen*
21. Syphilisscreeningforallpregnantwomenorotherwomenatincreasedrisk
22. Wellwomanvisitstoobtainrecommendedpreventiveservices*

LearnmoreaboutAffordableCareActRulesonExpandingAccesstoPreventiveServicesforWomen.
(EffectiveAugust1,2012)

26CoveredPreventiveServicesforChildren
1. AlcoholandDrugUseassessmentsforadolescents
2. Autismscreeningforchildrenat18and24months
3. Behavioralassessmentsforchildrenofallages
Ages:0to11months,1to4years,5to10years,11to14years,15to17years.
4. BloodPressurescreeningforchildren
Ages:0to11months,1to4years,5to10years,11to14years,15to17years.
5. CervicalDysplasiascreeningforsexuallyactivefemales
6. CongenitalHypothyroidismscreeningfornewborns
7. Depressionscreeningforadolescents
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8. Developmentalscreeningforchildrenunderage3,andsurveillancethroughoutchildhood
9. Dyslipidemiascreeningforchildrenathigherriskoflipiddisorders
Ages:1to4years,5to10years,11to14years,15to17years.
10. FluorideChemopreventionsupplementsforchildrenwithoutfluorideintheirwatersource
11. Gonorrheapreventivemedicationfortheeyesofallnewborns
12. Hearingscreeningforallnewborns
13. Height,WeightandBodyMassIndexmeasurementsforchildren
Ages:0to11months,1to4years,5to10years,11to14years,15to17years.
14. HematocritorHemoglobinscreeningforchildren
15. Hemoglobinopathiesorsicklecellscreeningfornewborns
16. HIVscreeningforadolescentsathigherrisk
17. Immunizationvaccinesforchildrenfrombirthtoage18doses,recommendedages,and
recommendedpopulationsvary:
Diphtheria,Tetanus,Pertussis
Haemophilusinfluenzaetypeb
HepatitisA
HepatitisB
HumanPapillomavirus
InactivatedPoliovirus
Influenza(FluShot)
Measles,Mumps,Rubella
Meningococcal
Pneumococcal
Rotavirus
Varicella
Learnmoreaboutimmunizationsandseethelatestvaccineschedules.
18. Ironsupplementsforchildrenages6to12monthsatriskforanemia
19. Leadscreeningforchildrenatriskofexposure
20. MedicalHistoryforallchildrenthroughoutdevelopment
Ages:0to11months,1to4years,5to10years,11to14years,15to17years.
21. Obesityscreeningandcounseling
22. OralHealthriskassessmentforyoungchildren
Ages:0to11months,1to4years,5to10years.
23. Phenylketonuria(PKU)screeningforthisgeneticdisorderinnewborns
24. SexuallyTransmittedInfection(STI)preventioncounselingandscreeningforadolescentsat
higherrisk
25. Tuberculintestingforchildrenathigherriskoftuberculosis
Ages:0to11months,1to4years,5to10years,11to14years,15to17years.
26. Visionscreeningforallchildren

LearnmoreabouttheU.S.PreventiveServicesTaskForceRecommendations.

Postedon:September23,2010

Lastupdated:September27,2012

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