The Arc of Illinois

July 21, 2010

Leaders in The Arc:

An extremely important aspect of health care reform is preventive services. Starting in September, insurance plans will be required to pay the entire cost of recommended, preventive services.

Here is a list of preventive services that are covered under our health care reform law.

Tony Paulauski

The Arc of Illinois

815-464-1832

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Preventive Services Covered under the Affordable Care Act

 http://www.healthcare.gov/law/about/provisions/services/lists.html

If you have a new health insurance plan or insurance policy beginning on or after September 23, 2010, 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

       HIV screening for all adults at higher risk

       Immunization vaccines for adults--doses, recommended ages, and recommended populations vary:

o   Hepatitis A

o   Hepatitis B

o   Herpes Zoster

o   Human Papillomavirus

o   Influenza

o   Measles, Mumps, Rubella

o   Meningococcal

o   Pneumococcal

o   Tetanus, Diphtheria, Pertussis

o   Varicella

       Obesity screening and counseling for all adults

       Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk

       Tobacco Use screening for all adults and cessation interventions for tobacco users

       Syphilis screening for all adults at higher 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

       BRCA counseling about genetic testing for women at higher risk

       Breast Cancer Mammography screenings every 1 to 2 years for women over 40

       Breast Cancer Chemoprevention counseling for women at higher risk

       Breast Feeding interventions to support and promote breast feeding

       Cervical Cancer screening for sexually active women

       Chlamydia Infection screening for younger women and other women at higher risk

       Folic Acid supplements for women who may become pregnant

       Gonorrhea screening for all women at higher risk

       Hepatitis B screening for pregnant women at their first prenatal visit

       Osteoporosis screening for women over age 60 depending on risk factors

       Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk

       Tobacco Use screening and interventions for all women, and expanded counseling for pregnant tobacco users

       Syphilis screening for all pregnant women or other women at increased risk

Covered Preventive Services for Children

       Alcohol and Drug Use assessments for adolescents

       Autism screening for children at 18 and 24 months

       Behavioral assessments for children of all ages

       Cervical Dysplasia screening for sexually active females

       Congenital Hypothyroidism screening for newborns

       Developmental screening for children under age 3, and surveillance throughout childhood

       Dyslipidemia screening for children at higher risk of lipid disorders

       Fluoride Chemoprevention supplements for children without fluoride in their water source

       Gonorrhea preventive medication for the eyes of all newborns

       Hearing screening for all newborns

       Height, Weight and Body Mass Index measurements for children

       Hematocrit or Hemoglobin screening for children

       Hemoglobinopathies or sickle cell screening for newborns

       HIV screening for adolescents at higher risk

       Immunization vaccines for children from birth to age 18 doses, recommended ages, and recommended populations vary:

o   Diphtheria, Tetanus, Pertussis

o   Haemophilus influenzae type b

o   Hepatitis A

o   Hepatitis B

o   Human Papillomavirus

o   Inactivated Poliovirus

o   Influenza

o   Measles, Mumps, Rubella

o   Meningococcal

o   Pneumococcal

o   Rotavirus

o   Varicella

       Iron supplements for children ages 6 to 12 months at risk for anemia

       Lead screening for children at risk of exposure

       Medical History for all children throughout development

       Obesity screening and counseling

       Oral Health risk assessment for young children

       Phenylketonuria (PKU) screening for this genetic disorder in newborns

       Sexually Transmitted Infection (STI) prevention counseling for adolescents at higher risk

       Tuberculin testing for children at higher risk of tuberculosis

       Vision screening for all children

Learn more detailed information on these preventive services.