Preventive Care
Services
The Patient Protection and Affordable Care Act is bringing numerous changes to the healthcare industry. We
are working hard on behalf of our customers to implement healthcare reform provisions as regulations are
defined. The list below is a sample of preventive services available to our customers and their enrolled
dependents at no out-of-pocket cost when obtained from a network provider.
Service Frequency Limit Age Limit
Routine physical exam No limit No limit
Pap Smear One per year No limit
Prostate-specific antigen (PSA) test No limit No limit
Routine mammogram, if recommended by a physician One per year No limit
Immunizations recommended by a physician No limit No limit
Well-baby care for dependent children No limit Up to age 24 months
Colonoscopy for adult men and women One every 10 years Ages 50 - 75
Asymptomatic bacteriuria for pregnant women No limit No limit
Congenital hypothyroidism screening No limit Newborns less than age 1
Chlamydial and gonorrhea screenings for women One per year No limit
Hearing screening One per year Ages 0 - 21
Hepatitis B virus infection screening for pregnant women No limit No limit
HIV screening No limit No limit
Lipid disorders screening in adults No limit No limit
Osteoporosis screening in postmenopausal women One per year Age 60 and older
Sickle cell disease screening No limit Newborns less than age 1
Syphilis infection screening One per year No limit
Type 2 diabetes mellitus screening in adults No limit No limit
Visual impairment screening One per year Ages 0 - 21
Lead screening One per year Ages 0 - 6
Developmental screenings No limit Ages 0 - 3
Autism screenings No limit Ages 1 - 2
Tuberculosis screening One per year Ages 0 - 21
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