Topic Area:  

  • Getting care, what's covered

Does health insurance cover preventive services?

Yes. In fact, most health plans must cover a certain set of preventive services at no cost to you, when delivered by an in-network provider.

Screenings and Counseling

  • Screening for diabetes, cholesterol, obesity, various cancers, including prostate, HIV, and sexually transmitted infections (STIs)
  • Counseling for drug and tobacco use, healthy eating, and other common health concerns

 

Routine Immunizations

Recommended routine immunizations for adults and children such as influenza, meningitis, tetanus, HPV, hepatitis A and B, measles, mumps, rubella, and varicella

 

Children and Adolescents

In addition to some of the immunization and screening services described above:

  • Behavioral and developmental assessments
  • Iron and fluoride supplements
  • Screening for autism, vision impairment, lipid disorders, tuberculosis, and certain genetic diseases

 

Women

In addition to the services described above:

  • Well-woman visits
  • FDA-approved contraceptives and related services
  • Services for women who are pregnant or may become pregnant
  • Breastfeeding support and supplies
  • Domestic violence screening

 

Behavioral Health Services

  • Screening for depression

 

 

These are just some examples and the list is updated on a regular basis. Check the list of preventive services covered by health plans under the Affordable Care Act (ACA) go to this link: https://www.healthcare.gov/coverage/preventive-care-benefits/

Be sure to review your summary of benefits and coverage document to see what preventive services your health plan covers - there are some exceptions. And, learn more for tips to help you avoid unexpected costs.

6/7/2018

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