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 50 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 at increased risk, and one time for everyone born 1945–1965
  13. HIV screening for everyone ages 15 to 65, and other ages at increased risk
  14. Immunization vaccines for adults — doses, recommended ages, and recommended populations vary:

  15. Lung cancer screening for adults 55-80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years
  16. Obesity screening and counseling
  17. Sexually transmitted infection (STI) prevention counseling for adults at higher risk
  18. Statin preventive medication for adults 40 to 75 at high risk
  19. Syphilis screening for adults at higher risk
  20. Tobacco use screening for all adults and cessation interventions for tobacco users
  21. Tuberculosis screening for certain adults without symptoms at high risk

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