MEDICAL PLAN
WHICH PREVENTIVE CARE SERVICES ARE COVERED?
CERTAIN VACCINES ■ COVID-19* ■ Diphtheria, Pertussis ("Whooping Cough"), Tetanus ■ Haemophilus Influenzae Type B (Hib) ■ Hepatitis A and B
SCREENINGS FOR ■ Abdominal aortic aneurysm ■ Alcohol abuse and tobacco use ■ Anxiety ■ Breast cancer screening, breast cancer prevention medication, genetic testing and counseling ■ Cardiovascular disease (CVD) including cholesterol screening and statin use for the prevention of CVD ■ Certain contraceptives and medical devices, morning after pill, and sterilization to prevent pregnancy ■ Cervical cancer screening ■ Colorectal and lung cancer ■ Depression ■ Falls prevention ■ High blood pressure, obesity, prediabetes and diabetes ■ Human papillomavirus (HPV) DNA test ■ Osteoporosis screening ■ Prep medication use for the prevention of HIV including baseline and monitoring services ■ Sexually transmitted infections, Chlamydia, gonorrhea, syphilis, HIV, HPV and hepatitis B ■ Tuberculosis
■ Human Papillomavirus (HPV) ■ Inactivated Poliovirus (Polio) ■ Influenza (Flu) ■ Measles, Mumps, Rubella (MMR) ■ Meningitis ■ Pneumococcal ■ Rotavirus ■ Varicella (Chicken Pox) ■ Zoster (Herpes, Shingles) FOR CHILDREN SCREENINGS FOR
■ Anxiety ■ Autism ■ Cervical dysplasia ■ Critical congenital heart defect screening for newborns ■ Depression ■ Developmental delays ■ Dyslipidemia (for children at higher risk) ■ Hearing loss, hypothyroidism, sickle cell disease and phenylketonuria (PKU) in newborns ■ Hematocrit or hemoglobin ■ Lead poisoning ■ Obesity ■ Sexually transmitted infections and HIV ■ Tuberculosis ■ Vision screening ASSESSMENTS AND COUNSELING ■ Alcohol and drug use assessment for adolescents ■ Obesity counseling ■ Oral health risk assessment, dental caries prevention fluoride
FOR ADULTS Annual preventive medical history and physical exam
COUNSELING FOR ■ Alcohol and drug misuse ■ Domestic violence
■ Healthy diet and physical activity counseling for adults who are overweight or obese and have additional cardiovascular disease risk factors ■ Obesity ■ Sexually transmitted infections ■ Skin cancer prevention ■ Tobacco use, including certain medicine to stop ■ Urinary incontinence screening PREGNANCY ■ Aspirin for preeclampsia prevention ■ Breastfeeding support, supplies and counseling ■ Counseling for alcohol and tobacco use during pregnancy ■ Counseling for healthy weight gain during pregnancy ■ Diabetes screening after pregnancy ■ Folic acid supplementation during pregnancy ■ Screenings related to pregnancy, including screenings for anemia, gestational diabetes, bacteriuria, Rh(D) compatibility, preeclampsia and perinatal depression
varnish and oral fluoride supplements ■ Skin cancer prevention counseling ■ Tobacco cessation
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MEDICAL PLAN I
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