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Covered PREVENTIVE CARE SERVICES
PREVENTIVE CARE SERVICES CHART
Screenings, Counseling and Tests
Practical CSS3 tables with rounded corners - demo
Adults
Alcohol misuse
age 18 or older - screening with brief behavioral counseling interventions
Blood pressure screening
all adults
Cholesterol screening
all men 35 and older
men ages 20 to 35 who have heart disease or risk factors for heart disease
women age 20 and older who have heart disease or risk factors for heart disease
Colorectal cancer screening
over 45 - once every 5 years
Diabetes screening
ages 40 - 70 who are overweight or obese
Depression screening
screening for adults, including pregnant and postpartum women
Healthy diet counseling
all adults at higher risk for chronic disease
Healthful diet/physical activity
behavioral counseling for cardiovascular disease prevention
Hepatitis B screening
all adults at high risk
Hepatitis C screening
all adults at increased risk, and once for everyone born 1945 - 1965
High blood pressure screening
age 18 or older - measurements outside of a clinical setting for diagnostic confirmation before starting treatment
HIV screening
ages 15 to 65, and other ages at higher risk
Lung cancer screening
age 50 years old
Type 2 diabetes mellitus screening
ages 40 to 70 who are overweight or obese
Tobacco use
screening for all adults; cessation interventions for tobacco use
Syphilis screening
all adults at higher risk
Sexually transmitted infection (STI)
behavioral counseling for adults at higher risk
Women
Anemia screening
pregnant women on a routine basis
Bacteriuria
pregnant women - urinary tract or other infection screening
BRCA
women at higher risk - counseling about genetic testing
Breast cancer chemoprevention counseling
women at higher risk
Breast cancer mammography
over 40 - screenings every 1 to 2 years
Breast feeding
comprehensive support, counseling and supplies
Cervical cancer screening
all sexually active women
Contraceptive methods approved by the FDA
barrier, short-acting hormonal, contraceptive injection, emergency and permanent sterilization
Contraceptive counseling
all sexually active women
Chlamydia infection screening
younger women and others at higher risk
Gestational diabetes mellitus screening
asymptomatic pregnant women after 24 weeks of gestation
Hepatitis B screening
pregnant women at first prenatal visit
Human papillomavirus
age 30 or older with normal cytology results - DNA testing every 3 years
Osteoporosis screening
over 60 - depending on risk factors
Rh incompatibility screening
pregnant women, and follow-up testing for women at higher risk
Interpersonal and domestic violence
all women - screening and counseling
HIV
all sexually active women - screening and counseling
Syphilis screening
pregnant women and others at increased risk
Tobacco use
screening and interventions for all women; expanded counseling for pregnant tobacco users
Well-woman visits
under 65
Men
Abdominal aortic aneurysm
ages 65 to 75 - one-time screening for men who have ever smoked
Prostate cancer screening
all men
Pediatric (Children & Adolescents)
Alcohol and drug use assessment
all adolescents
Autism screening
at 18 months and 24 months
Behavioral assessment
all children
Cervial dysplasia screening
all sexually active females
Depression screening
all adolescents
Dental caries screening
infants to age 5 - for prevention
Developmental screening
under age 3, and surveillance throughout childhood
Dyslipidemia screening
children at higher risk of lipid disorders
Height, weight and body mass index (BMI) measurement
all children
Hematocrit or hemoglobin screening
all children
Hepatitis B screening
adolescents at high risk
HIV screening
adolescents at high risk
Lead screening
children at risk of exposure
Medical history
all children throughout development
Obesity
all children - screening and counseling
Oral health
risk assessment for young children
Sexually transmitted infection (STI)
behavioral counseling for adolescents at higher risk
Tuberculin testing
children at higher risk of tuberculosis
Vision testing
all children
Pediatric (Newborn)
Congenital hypothyroidism screening
all newborns
Hearing screening
all newborns
Hemoglobinopathies/sickle cell screening
all newborns
Hypothyroidism screening
all newborns
Gonorrhea preventive medication
for the eyes of all newborns
Phenylketonuria (PKU) screening
all newborns
Immunization Vaccines
Adults (doses, ages and populations vary)
Pediatric : birth to age 18 (doses, ages and populations vary)
Hepatitis A
Diphtheria, tetanus, pertussis
Hepatitis B
Haemophilus influenzae type B
Herpes zoster
Hepatitis A
Human papillomavirus
Hepatitis B
Influenza
Human papillomavirus
Measles, mumps, rubella
Inactivated poliovirus
Meningococcal
Influenza
Pneumococcal
Measles, mumps, rubella
Tetanus, diphtheria, pertussis
Meningococcal
Varicella
Pneumococcal
Rotovirus
Varicella
Pharmacy Services
Adults
Aspirin use to prevent cardiovascular disease
men ages 45 to 79
women ages 55 to 79
low-dose for women after 12 weeks of gestation who are at risk for preeclampsia
over the counter (OTC) with prescription
Bowel preparation agents for colorectal cancer screening
generic and OTC
Vitamin D
OTC supplementation products (single ingredient only with prescription)
Smoking cessation products
prescription and OTC (with prescription)
Women
Folic acid supplements
women who may become pregnant; OTC (with prescription only)
Low-dose aspirin
as preventive medication after 12 weeks gestation in women at high risk for preeclampsia
Pediatric
Fluoride supplements
children older than 6 months without fluoride in their water source; with prescription (generic single ingredient only)
Iron supplements
children ages 6 to 12 months at risk for anemia