August 25th, 2010 – As part of the national Health Care Reform, new health insurance plans with effective dates on or after September 23, 2010, are supposed to cover the following preventive services without a copayment, coinsurance, or deductible, when these services are delivered by a network provider.

Covered preventive screenings for adults

• Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked
• Alcohol misuse screening and counseling
• Aspirin recommended 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):
• Hepatitis A
• Hepatitis B
• Herpes zoster
• Human papillomavirus
• Influenza
• Measles, mumps, rubella
• Meningococcal
• Pneumococcal
• Tetanus, diphtheria, pertussis
• Varicella
• Obesity screening and counseling for all adults
• Sexually transmitted infection 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 one to two years for women over 40
• Breast cancer chemoprevention counseling for women at higher risk
• Breastfeeding interventions to support and promote breastfeeding
• Cervical cancer screening for sexually active women
• Chlamydia infection screening for younger women and other women at higher risk
• Folic acid recommended for all women planning or capable of pregnancy
• Gonorrhea screening for all women at higher risk
• Hepatitis B screening for pregnant women at their first prenatal visit
• Osteoporosis screening for women over 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 3, and surveillance throughout childhood
• Dyslipidemia screening for children at higher risk of lipid disorders
• Fluoride chemoprevention recommended 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
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• 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):
• Diphtheria, tetanus, pertussis
• Haemophilus influenzae type b
• Hepatitis A
• Hepatitis B
• Human papillomavirus
• Inactivated poliovirus
• Influenza
• Measles, mumps, rubella
• Meningococcal
• Pneumococcal
• Rotavirus
• Varicella
• Iron recommended 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 screening for this genetic disorder in newborns
• Sexually transmitted infection prevention counseling for adolescents at higher risk
• Tuberculin testing for children at higher risk of tuberculosis
• Vision screening for all children

Colorado state-mandated preventive care services are in addition to those required by federal health care reform.

Additional State-mandated services

• Breast cancer screenings for all at-risk individuals regardless of age
• Colorectal cancer screenings for all at-risk individuals regardless of age

NOTE:  The information provided is informational and non-binding.  The information presented is intended to provide a brief outline of coverage. All terms and conditions of coverage, including benefits and exclusions, are contained in your Insurance Policy or Certificate, which shall control in the event of a conflict with this overview.