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Free Preventive Care Quick Guide

The Affordable Care Act requires that all health insurance plans cover preventive care for free. Preventive care services focus on managing and maintaining your health before something becomes serious. This includes routine check-ups, counseling, screenings, and immunizations.

Which preventive care services are included in your Marketplace plan?

$0 Free Preventive care services for adults:

Abdominal aortic aneurysm (one-time screening for male smokers)

● Alcohol misuse screening and behavioral counseling

● Aspirin use to help prevent heart attack or stroke

● Blood pressure screening

● Cholesterol screening (for anyone considered high risk)

● Colorectal cancer screening (for adults 50+)

● Depression screening

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

● Diet counseling (for adults considered to be high risk for chronic disease)

● Hepatitis B screening

● Hepatitis C screening

● HIV screening

● Immunization vaccines (coverage may depend on the specific vaccine)

    ○ Diphtheria

    ○ Hepatitis A

    ○ Hepatitis B

    ○ Herpes Zoster

    ○ Human Papillomavirus (HPV)

    ○ Influenza (flu)

    ○ Measles

    ○ Meningococcal

    ○ Mumps

    ○ Pertussis

    ○ Pneumococcal

    ○ Rubella

    ○ Tetanus

    ○ Varicella (chickenpox)

    ● Lung cancer screening (for adults considered high risk)

    ● Obesity screening and counseling

    ● Sexually transmitted infection (STI) prevention counseling

    ● Syphilis screening

    ● Tobacco Use screening

    $0 Free Preventive care services for women:

    ● Breast cancer genetic test counseling – BRCA (for women considered high risk)

    ● Breast cancer mammography screenings (every 1-2 years for women 40+)

    ● Breast cancer chemoprevention counseling (for women considered high risk)

    ● Cervical cancer screening

    ● Chlamydia infection screening

    ● Domestic and interpersonal violence screening and counseling

    ● Gonorrhea screening

    ● HIV screening and counseling

    ● Human Papillomavirus (HPV) screening (for women 30+ with normal cytology results)

    ● Osteoporosis screening (for women 60+)

    ● Rh incompatibility screening and follow-up testing (for women considered high risk)

    ● Sexually transmitted infection (STI) counseling

    ● Syphilis screening

    ● Tobacco use screening and interventions

    ● Well-woman visits to get recommended services (for women under 65)

    $0 Free Preventive care services for women who are pregnant or trying to become pregnant:

    ● Routine anemia screening

    ● Comprehensive breastfeeding support and counseling

    ● Access to breastfeeding supplies for both pregnant and nursing women

    ● Barrier birth control methods (e.g. diaphragms and sponges)

    ● Hormonal birth control methods (e.g. birth control pills and vaginal rings)

    ● Implanted birth control methods (e.g. intrauterine devices)

    ● Emergency contraception (e.g. Plan B® and ella®)

    ● Sterilization procedures

    ● Patient education and counseling

    ● Folic acid supplements

    ● Gestational diabetes screening (for women 24-28 weeks pregnant, and those at high risk of developing gestational diabetes)

    ● Gonorrhea screening

    ● Hepatitis B screening (for pregnant women at their first prenatal visit)

    ● Rh Incompatibility screening (for all pregnant women, and follow-up testing for women at higher risk)

    ● Syphilis screening

    ● Expanded tobacco intervention and counseling (for women who are pregnant and use tobacco)

    ● Urinary tract or other infection screening

    $0 Free Preventive care services for children:

    ● Alcohol and drug use assessments (for adolescents)

    ● Autism screening (for children between 18-24 months)

    ● Behavioral assessments

    ● Blood pressure screening

    ● Cervical dysplasia screening (for sexually active females)

    ● Depression screening (for adolescents)

    ● Developmental screening (for children under 3)

    ● Dyslipidemia screening (for children considered high risk for lipid disorders)

    ● Fluoride chemoprevention supplements (for children who do not have access to a water source that contains fluoride)

    ● Gonorrhea preventive medication (for all newborns)

    ● Hearing screening (for all newborns)

    ● Height, weight, and body mass index (BMI) measurements

    ● Hematocrit or hemoglobin screening

    ● Hemoglobinopathies or sickle cell screening (for newborns)

    ● Hepatitis B screening (for adolescents considered high risk)

    ● HIV screening (for adolescents considered high risk)

    ● Hypothyroidism screening (for newborns)

    ● Immunization vaccines (coverage may depend on the specific vaccine)

    ○ Diphtheria, Tetanus, Pertussis (whooping cough)

    ○ Haemophilus influenza (flu) type b

    ○ Hepatitis A

    ○ Hepatitis B

    ○ Human Papillomavirus (HPV)

    ○ Inactivated Poliovirus

    ○ Influenza (flu)

    ○ Measles

    ○ Meningococcal

    ○ Pneumococcal

    ○ Rotavirus

    ○ Varicella (chickenpox)

    ● Iron supplements (for children at risk for anemia between 6-12 months)

    ● Lead screening (for children at risk of exposure)

    ● Medical history

    ● Obesity screening and counseling

    ● Oral health risk assessment (for children up to 10)

    ● Phenylketonuria (PKU) screening (for newborns)

    ● Sexually transmitted infection (STI) prevention counseling and screening (for adolescents considered high risk)

    ● Tuberculin testing (for children considered high risk)

    ● Vision screening

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