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Free Preventive Health Services

Free preventive health services for all Adults

All Marketplace private and subsidized insurance plans must cover the following list of preventive services without charging a copayment or coinsurance, even if you haven’t met your yearly deductible.

These services must be delivered by an in-network provider. If you go out of network, all costs will go toward your out-of-network deductible.

  1. Abdominal Aortic Aneurysm one-time screening for men of specified ages who have ever smoked

  2. Alcohol Misuse screening and counseling

  3. Aspirin use to prevent cardiovascular disease for men and women of certain ages

  4. Blood Pressure screening for all adults

  5. Cholesterol screening for adults of certain ages or at higher risk

  6. Colorectal Cancer screening for adults over 50

  7. Depression screening for adults

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

  9. Diet counseling for adults at higher risk for chronic disease

  10. HIV screening for everyone ages 15 to 65, and other ages at increased risk

  11. 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 (Meningitis)    Pneumococcal (Strept)


Tetanus    Diphtheria    Pertussis (Whooping cough)    Varicella (Chicken Pox)

12.Obesity screening and counseling for all adults
13.Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk
14.Syphilis screening for all adults at higher risk
15.Tobacco Use screening for all adults and cessation interventions for tobacco users

Additional Free Preventive health services for Women

All Marketplace private and subsidized insurance plans must cover an additional comprehensive set of preventive screenings without charging a copayment or coinsurance, even if you haven’t met your yearly deductible.

These services must be delivered by a network provider.

  1. Anemia screening on a routine basis for pregnant women

  2. Breast Cancer Genetic Test Counseling (BRCA) for women at higher risk for breast cancer

  3. Breast Cancer Mammography screenings every 1 to 2 years for women over 40

  4. Breast Cancer Chemoprevention counseling for women at higher risk

  5. Breastfeeding comprehensive support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women

  6. Cervical Cancer screening for sexually active women

  7. Chlamydia Infection screening for younger women and other women at higher risk

  8. Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, as prescribed by a health care provider for women with reproductive capacity (not including abortifacient drugs, which induce abortions). This does not apply to health plans sponsored by certain exempt “religious employers.”

  9. Domestic and interpersonal violence screening and counseling for all women

  10. Folic Acid supplements for women who may become pregnant

  11. Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes

  12. Gonorrhea screening for all women at higher risk

  13. Hepatitis B screening for pregnant women at their first prenatal visit

  14. HIV screening and counseling for sexually active women

  15. Human Papillomavirus (HPV) DNA Test every 3 years for women with normal cytology results who are 30 or older

  16. Osteoporosis screening for women over age 60 depending on risk factors

  17. Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk

  18. Sexually Transmitted Infections counseling for sexually active women

  19. Syphilis screening for all pregnant women or other women at increased risk

  20. Tobacco Use screening and interventions for all women, and expanded counseling for pregnant tobacco users

  21. Urinary tract or other infection screening for pregnant women

  22. Well-woman visits to get recommended services for women under 65

Free Preventive health services for Children

All Marketplace private and subsidized insurance plans must cover an additional set of preventive health services for children (18 & under) without charging a copayment or coinsurance, even if you haven’t met your yearly deductible.

These services must be delivered by a network provider.

  1. Autism screening for children at 18 and 24 months

  2. Behavioral assessments for children at the following ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.

  3. Blood Pressure screening for children at the following ages: 0 to 11 months, 1 to 4 years , 5 to 10 years, 11 to 14 years, 15 to 17 years.

  4. Cervical Dysplasia screening for sexually active females

  5. Depression screening for adolescents

  6. Developmental screening for children under age 3

  7. Dyslipidemia screening for children at higher risk of lipid disorders at the following ages: 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.

  8. Fluoride Chemoprevention supplements for children without fluoride in their water source

  9. Gonorrhea preventive medication for the eyes of all newborns

  10. Hearing screening for all newborns

  11. Height, Weight and Body Mass Index measurements for children at the following ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.

  12. Hematocrit or Hemoglobin screening for children

  13. Hemoglobinopathies or sickle cell screening for newborns

  14. HIV screening for adolescents at higher risk

  15. **Hypothyroidism screening for newborns

  16. 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

17. Iron supplements for children ages 6 to 12 months at risk for anemia
18. Lead screening for children at risk of exposure
19. Medical History for all children throughout development at the following ages: 0 to 11 months, 1 to 4 years , 5 to 10 years ,11 to 14 years , 15 to 17 years.
20. Obesity screening and counseling
21. Oral Health risk assessment for young children Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years.
22. Phenylketonuria (PKU) screening for this genetic disorder in newborns
23. Sexually Transmitted Infection (STI) prevention counseling and screening for adolescents at higher risk.
24. Tuberculin testing for children at higher risk of tuberculosis at the following ages: 0 to 11 months, 1 to 4 years, 5 to 10 years,11 to 14 years, 15 to 17 years.
25. Vision screening for all children.

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