Preventive care benefits for adults

All Marketplace health plans and many other plans must cover the following list of preventive services without charging you a copayment or coinsurance. This is true even if you haven’t met your yearly deductible.

IMPORTANT These services are free only when delivered by a doctor or other provider in your plan’s network.

  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 and colorectal cancer for adults 50 to 59 years with a high cardiovascular risk
  4. Blood pressure screening
  5. Cholesterol screening for adults of certain ages or at higher risk
  6. Colorectal cancer screening for adults 45 to 75
  7. Depression screening
  8. Diabetes (Type 2) screening for adults 40 to 70 years who are overweight or obese
  9. Diet counseling for adults at higher risk for chronic disease
  10. Falls prevention (with exercise or physical therapy and vitamin D use) for adults 65 years and over, living in a community setting
  11. Hepatitis B screening for people at high risk, including people from countries with 2% or more Hepatitis B prevalence, and U.S.-born people not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence.
  12. Hepatitis C screening for adults age 18 to 79 years
  13. HIV screening for everyone age 15 to 65, and other ages at increased risk
  14. PrEP (pre-exposure prophylaxis) HIV prevention medication for HIV-negative adults at high risk for getting HIV through sex or injection drug use
  15. Immunizations for adults — doses, recommended ages, and recommended populations vary:

  16. Lung cancer screening for adults 50 to 80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years

  17. Obesity screening and counseling
  18. Sexually transmitted infection (STI) prevention counseling for adults at higher risk
  19. Statin preventive medication for adults 40 to 75 at high risk
  20. Syphilis screening for adults at higher risk
  21. Tobacco use screening for all adults and cessation interventions for tobacco users
  22. Tuberculosis screening for certain adults without symptoms at high risk

More on prevention