If you have a new health insurance plan or insurance policy beginning on or after September 23, 2010, the following preventive services must be covered without you being required to pay a co-payment or coinsurance or meet your deductible. This applies only when these services are delivered by a network provider.
- Abdominal aortic aneurysm: one-time screening for men of specified ages who have ever 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 over 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
- Immunization: vaccines for adults—doses, recommended ages and recommended populations vary:
- Hepatitis A
- Hepatitis B
- Herpes zoster
- Human papillomavirus
- Influenza (flu shot)
- 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
- 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
- Breastfeeding: comprehensive support and counseling from trained providers, as well as access to breastfeeding supplies, for pregnant and nursing women*
- Cervical cancer: screening for sexually active women
- Chlamydia infection: screening for younger women and other women at higher risk
- Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, not including abortifacient drugs*
- Domestic and interpersonal violence: screening and counseling for all women*
- Folic acid: supplements for women who may become pregnant
- Gestational diabetes: screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes*
- Gonorrhea: screening for all women at higher risk
- Hepatitis B: screening for pregnant women at their first prenatal visit
- Human immunodeficiency virus (HIV): screening and counseling for sexually active women*
- Human papillomavirus (HPV) DNA test: high-risk HPV DNA testing every three years for women with normal cytology results who are 30 or older*
- 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
- Sexually transmitted infections (STIs): counseling for sexually active women*
- Syphilis: screening for all pregnant women or other women at increased risk
- Well-woman visits: to obtain recommended preventive services for women under 65*
* Must be covered with no cost-sharing in plan years starting on or after August 1, 2012.
- Alcohol and drug use: assessments for adolescents
- Autism: screening for children at 18 and 24 months
- Behavioral: assessments for children of all ages
- Blood pressure: screening for children
- Cervical dysplasia: screening for sexually active females
- Congenital hypothyroidism: screening for newborns
- Depression: screening for adolescents
- Developmental: screening for children under age 3, and surveillance throughout childhood
- Dyslipidemia: screening for children at higher risk of lipid disorders
- Fluoride chemoprevention: supplements for children without fluoride in their 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 for children
- 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 (flu shot)
- Measles, mumps, rubella
- Meningococcal
- Pneumococcal
- Rotavirus
- Varicella
- Iron: supplements for children ages 6 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 infections (STIs): prevention counseling and screening for adolescents at higher risk
- Tuberculin: testing for children at higher risk of tuberculosis
- Vision: screening for all children
To find out more, you may want to read:
Major Changes With Health Care Reform
More Options for Purchasing Insurance
Insurance Regulation Changes That May Affect You
A Perspective on Women and Health Care
Timeline for Health Care Reform Changes
Health Care Reform: Where to Learn More
Ask the Expert: How does the new health care reform act affect older women?
Ask the Expert: How do the new health reform laws affect low-income women?
