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Preventive Care List

Preventive Care is Covered at 100 Percent

Where can I go for 100% covered preventive care?  Participating United Healthcare providers.

Providing your visit is for services considered preventive according to the Affordable Care Act and/or services rendered not to diagnose or treat an Accident or Sickness; there would be no out-of-pocket cost unless you receive services not listed below. Many of these services are covered as part of routine physical exams; these include regular checkups and routine gynecological visits.

These services are not preventive if you get them as part of a visit to diagnose, monitor, or treat an illness or injury. Then copays, coinsurance, and deductibles would apply.

NOTE: If you see an outside participating provider for a preventive service noted on this list and a problem is found that needs treatment, obtain a referral from the Campus Health Service first before proceeding. Not doing so could result in a non-referral penalty reverting to your out-of-network benefit. 

Covered Preventive Services for Adults

  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

Preventive Care Benefits for Women

Services for Pregnant Women or Women Who May Become Pregnant

  1. Breastfeeding support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women
  2. Birth control: 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). This does not apply to health plans sponsored by certain exempt “religious employers.” Learn more about contraceptive coverage.
  3. Folic acid supplements for women who may become pregnant
  4. Gestational diabetes screening for women 24 weeks pregnant (or later) and those at high risk of developing gestational diabetes
  5. Gonorrhea screening for all women at higher risk
  6. Hepatitis B screening for pregnant women at their first prenatal visit
  7. Maternal depression screening for mothers at well-baby visits (PDF, 1.5 MB)
  8. Preeclampsia prevention and screening for pregnant women with high blood pressure
  9. Rh incompatibility screening for all pregnant women and follow-up testing for women at higher risk
  10. Syphilis screening
  11. Expanded tobacco intervention and counseling for pregnant tobacco users
  12. Urinary tract or other infection screening

Get more information about services for pregnant women from HealthFinder.gov

Other Covered Preventive Services for Women

  1. Bone density screening for all women over age 65 or women age 64 and younger that have gone through menopause
  2. Breast cancer genetic test counseling (BRCA) for women at higher risk
  3. Breast cancer mammography screenings
    • Every 2 years for women 50 and over
    • As recommended by a provider for women 40 to 49 or women at higher risk for breast cancer
  4. Breast cancer chemoprevention counseling for women at higher risk
  5. Cervical cancer screening
    • Pap test (also called a Pap smear) for women age 21 to 65
  6. Chlamydia infection screening for younger women and other women at higher risk
  7. Diabetes screening for women with a history of gestational diabetes who aren’t currently pregnant and who haven’t been diagnosed with type 2 diabetes before
  8. Domestic and interpersonal violence screening and counseling for all women
  9. Gonorrhea screening for all women at higher risk
  10. HIV screening and counseling for everyone age 15 to 65, and other ages at increased risk
  11. PrEP (pre-exposure prophylaxis) HIV prevention medication for HIV-negative women at high risk for getting HIV through sex or injection drug use
  12. Sexually transmitted infections counseling for sexually active women
  13. Tobacco use screening and interventions
  14. Urinary incontinence screeningThis link takes you to a website not operated by the federal government. The site may have different privacy and security policies. for women yearly
  15. Well-woman visits to get recommended services for all women

Preventive Care Benefits for Children

  1. Alcohol, tobacco, and drug use assessments for adolescents
  2. Autism screening for children at 18 and 24 months
  3. Behavioral assessments for children: Age 0 to 11 months1 to 4 years5 to 10 years11 to 14 years15 to 17 years
  4. Bilirubin concentration screeningThis link takes you to a website not operated by the federal government. The site may have different privacy and security policies. (PDF, 609 KB) for newborns
  5. Blood pressure screening for children: Age 0 to 11 months1 to 4 years , 5 to 10 years11 to 14 years15 to 17 years
  6. Blood screening for newborns
  7. Depression screening for adolescents beginning routinely at age 12
  8. Developmental screening for children under age 3
  9. Dyslipidemia screeningThis link takes you to a website not operated by the federal government. The site may have different privacy and security policies. (PDF, 609 MB) for all children once between 9 and 11 years and once between 17 and 21 years, and for children at higher risk of lipid disorders
  10. Fluoride supplements for children without fluoride in their water source
  11. Fluoride varnish for all infants and children as soon as teeth are present
  12. Gonorrhea preventive medication for the eyes of all newborns
  13. Hearing screening for all newborns; and regular screeningsThis link takes you to a website not operated by the federal government. The site may have different privacy and security policies. (PDF, 609 KB) for children and adolescents as recommended by their provider
  14. Height, weight and body mass index (BMI) measurementsThis link takes you to a website not operated by the federal government. The site may have different privacy and security policies. (PDF, 609 KB) taken regularly for all children
  15. Hematocrit or hemoglobin screening for all children
  16. Hemoglobinopathies or sickle cell screening for newborns
  17. Hepatitis B screening for adolescents at higher risk
  18. HIV screening for adolescents at higher risk
  19. Hypothyroidism screening for newborns
  20. PrEP (pre-exposure prophylaxis) HIV prevention medication for HIV-negative adolescents at high risk for getting HIV through sex or injection drug use
  21. Immunizations for children from birth to age 18 — doses, recommended ages, and recommended populations vary:

  22. Lead screening for childrenThis link takes you to a website not operated by the federal government. The site may have different privacy and security policies. at risk of exposure

  23. Obesity screening and counseling

  24. Oral health risk assessmentThis link takes you to a website not operated by the federal government. The site may have different privacy and security policies. (PDF, 609 KB) for young children from 6 months to 6 years
  25. Phenylketonuria (PKU) screening for newborns
  26. Sexually transmitted infection (STI) prevention counseling and screening for adolescents at higher risk
  27. Tuberculin testing for children at higher risk of tuberculosis: Age 0 to 11 months1 to 4 years5 to 10 years11 to 14 years15 to 17 years
  28. Vision screening for all children
  29. Well-baby and well-child visits

NOTE: This list is available at: www.healthcare.gov/coverage/preventive-care-benefits