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Preventive services for children covered under the Affordable Care Act

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 your having to pay a copayment or co-insurance or meet your deductible. This applies only when these services are delivered by a network provider.

  1. Alcohol and Drug Use assessments for adolescents.
  2. Autism screening for children at 18 and 24 months.
  3. Behavioral assessments for children of all ages.
    Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
  4. Blood Pressure screening for children.
    Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
  5. Cervical Dysplasia screening for sexually active females.
  6. Congenital Hypothyroidism screening for newborns.
  7. Depression screening for adolescents.
  8. Developmental screening for children under age 3, and surveillance throughout childhood.
  9. Dyslipidemia screening for children at higher risk of lipid disorders.
    Ages: 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
  10. Fluoride Chemoprevention supplements for children without fluoride in their water.
  11. Gonorrhea preventive medication for the eyes of all newborns.
  12. Hearing screening for all newborns.
  13. Height, Weight and Body Mass Index measurements for children.
    Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
  14. Hematocrit or Hemoglobin screening for children.
  15. Hemoglobinopathies or sickle cell screening for newborns.
  16. HIV screening for adolescents at higher risk.
  17. Immunization vaccines for children from birth to age 18 —doses, recommended ages, and recommended populations vary:
    • Diphtheria, Tetanus, Pertussis
    • Haemophilus influenza type b
    • Hepatitis A
    • Hepatitis B
    • Human Papillomavirus
    • Inactivated Poliovirus
    • Influenza (Flu Shot)
    • Measles, Mumps, Rubella
    • Meningococcal
    • Pneumococcal
    • Rotavirus
    • Varicella
  18. Iron supplements for children ages 6 to 12 months at risk for anemia.
  19. Lead screening for children at risk of exposure.
  20. Medical History for all children throughout development.
    Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
  21. Obesity screening and counseling.
  22. Oral Health risk assessment for young children.
    Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years.
  23. Phenylketonuria (PKU) screening for this genetic disorder in newborns.
  24. Sexually Transmitted Infection (STI) prevention counseling and screening for adolescents at higher risk.
  25. Tuberculin testing for children at higher risk of tuberculosis.
    Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
  26. Vision screening for all children.

Preventive services for adults covered under the Affordable Care Act

Preventive services for women covered under the Affordable Care Act