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Preventive Services

The following lists the specified preventive care services covered without copayments, deductibles,

or coinsurance (as long as they are administered by in-network providers). Preventive care services

as specified by the U.S. Preventive Services Task Force, Centers for Disease Control and Prevention,

and the Health Resources and Services Administration. This information is based on Tufts HealthPlans review of the national health care reform legislation. Interpretations of the reform legislation

vary, and efforts will be made to present and update accurate information. Analysis is ongoing, and

additional guidance is also anticipated from the Department of Health and Human Services. This list

is subject to change.

SCREENINGS

Asymptomatic Bacteria: Screening - Pregnant women

Cervical Cancer: Screening - Women who are sexually active

Chlamydia: Screening - Women ages 24 and younger or 25 and older at increased risk

Colorectal Cancer: Screening - Adults, beginning at 50 and continuing until 75

HIV: Screening - Adults and adolescents at increased risk

HIV: Screening - Pregnant women

Hepatitis B Virus: Screening - Pregnant women

Lipid Disorders in Adults: Screening - Men 35 and older

Lipid Disorders in Adults: Screening - Women 45 and older, increased risk for CHD

Rh(D) Blood Typing: Screening - Pregnant women, rst pregnancy-related visit

Syphilis: Screening - Pregnant women

Syphilis: Screening - Men and women at increased risk

Abdominal Aortic Aneurysm: Screening - Men 65-75, smoker

Breast Cancer: Screening with mammography - Women 50-74 years

Depression: Screening - Adolescents, 12-18 years old, in clinical practices with systems of care Depression: Screening - Adults 18 and over, when sta-assisted depression care supports are in place

Gonorrhea: Screening - Pregnant women and women at increased risk

Iron Deciency Anemia: Screening - Asymptomatic pregnant women

Lipid Disorders in Adults: Screening - Men 20-34, increased risk for CHD

Lipid Disorders in Adults: Screening - Women 20-44, increased risk for CHD

Obesity: Screening - Children and adolescents, ages 6-17

Osteoporosis: Screening - Postmenopausal women 65 years and older with no risk factors, or 60 years and older with risk factors

Rh(D) Blood Typing: Screening - Antibody testing unsensitized Rh(D) - Negative pregnant women

Type 2 Diabetes Mellitus: Screening - Men and women with sustained BP 135/80+

Visual Impairment: Screening - Children younger than 5 years

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PEDIATRIC SCREENINGS

History (initial/interval);Measurements (length/height and weight; head circumference; weight for length, body mass index, blood

pressure); Sensory Screening (vision; hearing)

Developmental/Behavioral Assessment (developmental screening; autism screening; developmental surveillance; psychological/

behavioral assessment; alcohol and drug assessment)

Physical Examination

Newborn Metabolic/Hemoglobin Screening

Hemocrit or Hemoglobin

Lead Screening

Tuberculin Test

Dyslipidemia Screening

STI Screening

Cervical Dysplasia Screening

COUNSELING SERVICES

Tobacco Use: Counseling and intervention for adults

Tobacco Use: Counseling and intervention for pregnant women

Aspirin to Prevent CVD: Women ages 55 to 79, to prevent ischemic strokes Aspirin to Prevent CVD: Men ages 45 to 79, to prevent myocardial infarctions

Alcohol Misuse: Screening and behavioral counseling - Men, women, pregnant women

BRCA mutation counseling related to BRCA screening

Breast Cancer: Preventive medication discussion - Women, increased risk

Healthy Diet: Counseling - Adults with hyperlipidemia and other risk factors for CVD

Obesity: Screening and intensive counseling - Obese men and women

Sexually Transmitted Infections: Behavioral counseling - Sexually active adolescents and adults at increased risk

IMMUNIZATIONS

Rotavirus

DTP

Haemophilus inuenzae Type B

Inactivated poliovirus

MMR

Meningococcal

HPV

Tetanus, diphtheria, pertussis

Human papillomavirus

Varicella

Zoster

Measles, mumps, rubella

Inuenza

Pneumococcal (polysaccharide and conjugated)

Hepatitis A

Hepatitis B

Meningococcal

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