Preventive services covered under the Affordable Care Act

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The following preventive services must be covered without your having to pay a copayment or coinsurance or meet your deductible, when these services are delivered by a network provider.

Covered preventive services for adults
  • Abdominal Aortic Aneurysm one-time screening for men of specified ages who have ever smoked
  • Alcohol Misuse screening and counseling
  • Aspirin use for men and women of certain ages
  • Blood Pressure screening for all adults
  • Cholesterol screening for adults of certain ages or at higher risk
  • Colorectal Cancer screening for adults over 50
  • Depression screening for adults
  • Type 2 Diabetes screening for adults with high blood pressure
  • Diet counseling for adults at higher risk for chronic disease
  • Falls prevention (with exercise or physical therapy and vitamin D use) for adults 65 years and over, living in a community setting
  • 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.
  • Hepatitis C screening for adults age 18 to 79 years
  • HIV screening for all adults at higher risk
  • PrEP (pre-exposure prophylaxis) HIV prevention medication for HIV-negative adults at high risk for getting HIV through sex or injection drug use
  • Immunization vaccines for adults–doses, recommended ages, and recommended populations vary:
    • Chickenpox (Varicella)
    • Diphtheria
    • Flu (influenza)
    • Hepatitis A
    • Hepatitis B
    • Herpes Zoster
    • Human Papillomavirus (HPV)
    • Measles
    • Meningococcal
    • Mumps
    • Whooping Cough (Pertussis)
    • Pneumococcal
    • Rubella
    • Shingles
    • Tetanus
  • 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
  • Obesity screening and counseling for all adults
  • Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk
  • Statin preventive medication for adults 40 to 75 at high risk
  • Syphilis screening for all adults at higher risk
  • Tobacco Use screening for all adults and cessation interventions for tobacco users
  • Tuberculosis screening for certain adults without symptoms at high risk
Covered preventive services for women, including pregnant women
  • Anemia screening on a routine basis for pregnant women
  • Bacteriuria urinary tract or other infection screening for pregnant women
  • 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.
  • Breastfeeding support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women
  • Breast Feeding interventions to support and promote breast feeding
  • Folic Acid supplements for women who may become pregnant
  • Gestational Diabetes screening for women 24 weeks pregnant (or later) and those at high risk of developing gestational diabetes
  • Gonorrhea screening for all women at higher risk
  • Hepatitis B screening for pregnant women at their first prenatal visit
  • Maternal Depression screening for mothers at well-baby visits
  • Osteoporosis screening for women over age 60 depending on risk factors
  • Preeclampsia prevention and screening for pregnant women with high blood pressure
  • Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk
  • Syphilis screening for all pregnant women or other women at increased risk
  • Expanded Tobacco intervention and counseling for pregnant tobacco users
  • Urinary Tract or other infection screening

Other covered preventive services for women


  • Bone Density screening for all women over age 65 or women age 64 and younger that have gone through menopause
  • Breast Cancer Genetic Test Counseling (BRCA) for women at higher risk
  • 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
  • Breast Cancer Chemoprevention counseling for women at higher risk
  • Cervical Cancer screening
    • Pap test (also called a Pap smear) for women age 21 to 65
  • Chlamydia Infection screening for younger women and other women at higher risk
  • 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
  • HPV DNA Testing: Women 30 or older will have access to high-risk human papillomavirus (HPV) DNA testing no more frequently than every 3 years.
  • Domestic and Interpersonal Violence screening and counseling for all women
  • Gonorrhea screening for all women at higher risk
  • HIV screening and counseling for everyone age 15 to 65, and other ages at increased risk
  • PrEP (pre-exposure prophylaxis) HIV Prevention Medication for HIV-negative women at high risk for getting HIV through sex or injection drug use
  • Sexually Transmitted Infections counseling for sexually active women
  • Tobacco Use screening and interventions
  • Urinary Incontinence screening for women yearly
  • Contraception and Contraceptive Counseling: Women will have access to all Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling as prescribed.
  • Well-Woman Visits: Including an annual well-woman preventive care visit for adult women to obtain the recommended preventive services.