Comprehensive Summary of Preventive Services
As part of the Patient Protection and Affordable Health Care Act, the following preventive services for children and adults must be covered at no cost to the member when using in-network providers. These preventive services are covered where clinically appropriate, as recommended by the United States Preventive Services Task Force and supporting evidence. Limitations may apply regarding availability, setting, frequency or method of service/treatment.
The list of services was recently expanded and is effective August 1, 2012.
|Well child visits (birth to age 21)||
|Preventive prescription drugs||
|Health, diet and weight counseling for qualifying children|
|Alcohol and drug assessments for older children|
(OTC) Over the Counter
(P) Prescription Required
* Requires a prescription from a physician and must be purchased at a pharmacy to obtain the zero-cost share.