Page 19 - NAPA 2021-2022

Health Care Reform Update

Summary of Preventive and Contraceptive Services

(as of September 2020)

The services set forth below apply to plans that have elected or are required to provide preventive and
contraceptive services under the Patient Protection and Affordable Care Act. Such services are covered
where clinically appropriate, under recommendations of the United States Preventive Services Task Force
and supporting evidence. Limitations may apply with respect to the availability, setting, frequency, or
method of a service or treatment. Subscribers are responsible for payment of their monthly premium.
However, unlike some services, these preventive and contraceptive services are offered at no additional
cost. You will not pay a copay or coinsurance for these services, even if you haven’t met your deductible.
Children ■ Immunizations for children:

■ Well child visits (to age 21) to include: Diphtheria, Tetanus, Pertussis
Autism screening Hepatitis A and Hepatitis B
Certain diagnostic screenings for Human Papillomavirus (HPV)
newborns Inactivated Polio
Cervical dysplasia for sexually active Influenza
females Influenza B
Depression screening Measles, mumps and rubella
Developmental screenings—under age 3 Meningococcal
Hearing screening for newborns Pneumococcal
Hematocrit or hemoglobin screening Rotavirus
HIV screening Varicella
Lead testing
■ Health, diet and weight counseling
Obesity screening
■ Alcohol and drug assessments for older children
Vision screening
■ Tobacco use screening and cessation counseling