Commonly covered services:
Annual wellness visits and well-woman exams
Blood pressure, cholesterol, and diabetes screenings
Mammograms and cervical cancer screenings (Pap tests)
Colorectal cancer screening (adults 45-75)
Depression and mental health screenings
Immunizations and vaccines (flu, HPV, hepatitis, shingles, and more)
Contraceptive counseling and FDA-approved birth control methods
Pregnancy-related preventive care (gestational diabetes screening, preeclampsia screening, breastfeeding support)
Well-child and well-baby visits
Vision, hearing, and developmental screenings for children
Routine childhood immunizations
Obesity screening and counseling
Tobacco use screening and cessation support
This is not a complete list. See the detailed breakdowns below for adults, women, and children, or view the Preventive Care Benefits Guide and healthcare.gov/coverage/preventive-care-benefits.
If you're unsure whether a specific service qualifies, contact your provider's office before your visit and confirm the visit will be coded as preventive.
Covered Preventive Services
Adults
Alcohol misuse screening and counseling
Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked
Aspirin use to prevent cardiovascular disease and colorectal cancer (adults 50-59 with high cardiovascular risk)
Blood pressure screening
Cholesterol screening for adults of certain ages or at higher risk
Colorectal cancer screening (adults 45-75)
Depression screening
Diabetes (Type 2) screening (adults 40-70 who are overweight or obese)
Diet counseling for adults at higher risk for chronic disease
Falls prevention for adults 65+ living in a community setting (exercise, physical therapy, vitamin D)
Hepatitis B screening for people at high risk
Hepatitis C screening (adults 18-79)
HIV screening (ages 15-65, and other ages at increased risk)
PrEP (pre-exposure prophylaxis) for HIV-negative adults at high risk
Immunizations: Chickenpox, Diphtheria, Flu, Hepatitis A, Hepatitis B, HPV, Measles, Meningococcal, Mumps, Whooping Cough, Pneumococcal, Rubella, Shingles, Tetanus
Lung cancer screening (adults 50-80 at high risk)
Obesity screening and counseling
STI prevention counseling for adults at higher risk
Statin preventive medication (adults 40-75 at high risk)
Syphilis screening for adults at higher risk
Tobacco use screening and cessation interventions
Tuberculosis screening for certain adults at high risk
Women
Women have access to additional specialized preventive services tailored to their unique health needs.
Bone density screening - All women over 65; women 64 and younger who have gone through menopause
Breast cancer genetic test counseling (BRCA) - Women at higher risk (counseling only, not testing)
Breast cancer mammography screenings - Every 2 years for women 50+; as recommended for women 40-49 or at higher risk
Breast cancer chemoprevention counseling - Women at higher risk
Breastfeeding support - Comprehensive support, counseling, and access to breastfeeding supplies
Birth control - FDA-approved contraceptive methods, sterilization procedures, and patient education. Does not apply to plans sponsored by certain exempt "religious employers."
Cervical cancer screening - Pap test for women 21-65
Chlamydia infection screening - Younger women and women at higher risk
Diabetes screening - Women with a history of gestational diabetes not currently pregnant or diagnosed with Type 2
Domestic and interpersonal violence screening and counseling - All women
Folic acid supplements - Women who may become pregnant
Gestational diabetes screening - Women 24+ weeks pregnant or at high risk
Gonorrhea screening - Women at higher risk
Hepatitis B screening - Pregnant women at first prenatal visit
Maternal depression screening - Mothers at well-baby visits
Preeclampsia prevention and screening - Pregnant women with high blood pressure
Rh incompatibility screening - All pregnant women; follow-up testing for women at higher risk
STI counseling - Sexually active women
Tobacco intervention and counseling - All pregnant tobacco users
Urinary incontinence screening - Women yearly
Urinary tract or other infection screening
Well-woman visits - Recommended services for women
Children
Children have access to age-appropriate preventive services from birth through age 18.
Alcohol, tobacco, and drug use assessments for adolescents
Autism screening at 18 and 24 months
Behavioral assessments (ages 0-17, by age group)
Bilirubin concentration screening for newborns
Blood pressure screening (ages 0-17, by age group)
Blood screening for newborns
Depression screening for adolescents beginning at age 12
Developmental screening for children under age 3
Dyslipidemia screening (once between 9-11 years; once between 17-21 years for higher-risk children)
Fluoride supplements for children without fluoride in their water source
Fluoride varnish for all infants and children as soon as teeth are present
Gonorrhea preventive medication for the eyes of all newborns
Hearing screening for all newborns; regular screenings as recommended
Height, weight, and BMI measurements taken regularly
Hematocrit or hemoglobin screening
Hemoglobinopathies or sickle cell screening for newborns
Hepatitis B screening for adolescents at higher risk
HIV screening for adolescents at higher risk
Hypothyroidism screening for newborns
PrEP (pre-exposure prophylaxis) for HIV-negative adolescents at high risk
Immunizations (birth to 18): Chickenpox, DTaP, Haemophilus influenza type B, Hepatitis A, Hepatitis B, HPV, Inactivated Poliovirus, Influenza, Measles, Meningococcal, Mumps, Pneumococcal, Rubella, Rotavirus
Lead screening for children at risk of exposure
Obesity screening and counseling
Oral health risk assessment (6 months to 6 years)
Phenylketonuria (PKU) screening for newborns
STI prevention counseling and screening for adolescents at higher risk
Tuberculin testing for children at higher risk (ages 0-17, by age group)
Vision screening for all children
Well-baby and well-child visits
