Preventive Care List

 Preventive care is covered at 100 percent

Where can I go for 100% covered preventive care?  Participating Aetna Student Health Providers

Providing your visit is for services considered preventive according to the Affordable Care Act and/or services rendered not to diagnosis or treat an Accident or Sickness, there would be no out of pocket cost unless you receive services not listed below. Many of these services are covered as part of routine physical exams; these include regular checkups and routine gynecological visits.

These services are not preventive if you get them as part of a visit to diagnose, monitor or treat an illness or injury. Then copays, coinsurance and deductibles would apply.

Note:  If you see an outside participating provider for a preventive service noted on this list and a problem is found that needs treatment, obtain a referral from the Campus Health Service first before proceeding.  Not doing so could result in a non-referral penalty reverting to your out-of network benefit. 

Covered preventive services for adults

Screenings for:

·         Abdominal Aortic Aneurysm (one-time screening for men of specified ages who have ever smoked)

·         Alcohol misuse

·         Blood pressure

·         Cholesterol (for adults of certain ages or at higher risk)

·         Colorectal cancer (for adults over 50)

·         Depression

·         Type 2 diabetes (for adults with high blood pressure)

·         HIV (for all adults at higher risk)

·         Obesity

·         Tobacco use

·         Syphilis (for all adults at higher risk)

Counseling for:

·         Alcohol misuse

·         Aspirin use for men and women of certain ages and cardiovascular risk factors

·         Diet (for adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease)

·         Obesity

·         Sexually transmitted infection (STI) prevention (for adults at higher risk)

·         Tobacco use (including programs to help you stop using tobacco)

Immunizations:

Doses, recommended ages, and recommended populations vary.

·         Diphtheria, pertussis, tetanus (DPT)

·         Hepatitis A

·         Hepatitis B

·         Herpes zoster

·         Human papillomavirus (HPV)

·         Influenza (Flu)

·         Measles, mumps, rubella (MMR)

·         Meningococcal (meningitis)

·         Pneumococcal (pneumonia)

·         Varicella (chicken pox)

Additional covered preventive services for women

Screenings for:

·         Breast cancer (mammography every 1 to 2 years for women 50-74)

·         Cervical cancer (for sexually active women)

·         Chlamydia infection (for younger women and other women at higher risk)

·         Gonorrhea (for all women at higher risk)

·         Osteoporosis (for women over age 60 depending on risk factors)

Counseling for:

·         BRCA (counseling about genetic testing for women at higher risk)

·         Breast cancer chemoprevention (for women at higher risk)

·         Folic acid supplements (for women of child-bearing ages)

Additional services for pregnant women

·         Anemia screenings

·         Bacteriuria urinary tract or other infection screenings

·         Rh incompatibility screening, with follow-up testing for women at higher risk

·         Hepatitis B counseling (at the first prenatal visit)

·         Expanded counseling on tobacco use

·         Breast feeding interventions to support and promote breast feeding after delivery

Covered preventive services for children  

Screenings and assessments for:

·         Alcohol and drug use (for adolescents)

·         Autism (for children at 18 and 24 months)

·         Behavioral issues

·         Cervical dysplasia (for sexually active females)

·         Congenital hypothyroidism (for newborns)

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

·         Hearing (for all newborns)

·         Height, weight and body mass index measurements

·         Lipid disorders (dyslipidemia screening for children at higher risk)

·         Hematocrit or hemoglobin

·         HIV (for adolescents at higher risk)

·         Lead (for children at risk of exposure)

·         Medical history

·         Obesity

·         Oral health (risk assessment for young children)

·         Phenylketonuria (PKU) (newborns)

·         Tuberculin testing (for children at higher risk of tuberculosis)

·         Vision (screening as part of physical exam, not separate eye exam)

Medications and supplements:

·         Gonorrhea preventive medication for the eyes of all newborns

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

Counseling for:

·         Fluoride (prescription chemoprevention supplements for children without fluoride in their water source)

·         Obesity

·         Sexually transmitted infection (STI) prevention (for adolescents at higher risk)

Immunizations:

Up to age 18 — doses, recommended ages, and recommended populations vary.

·         Diphtheria, pertussis, tetanus (DPT)

·         Haemophilus influenzae type b

·         Hepatitis A

·         Hepatitis B

·         Human papillomavirus (HPV)

·         Inactivated poliovirus

·         Influenza (Flu)

·         Meningococcal (meningitis)

·         Pneumococcal (pneumonia)

·         Rotavirus

·         Varicella (chicken pox)