Preventive Services for
Non-Grandfathered Health Plans

The Patient Protection and Affordable Care Act (“PPACA”) requires Non-Grandfathered Health Plans to cover preventive services based on what the U.S. Preventive Services Task Force rated as an A or B preventive service. This list of services is subject to change as notified by the U.S. Department of Health and Human Services.

The following preventive services are covered on your BEST Life Non-Grandfathered Health Plan at 100% for both in- or out-of-network. To be covered at 100%, these services cannot be combined with a sickness visit. Your doctor will recommend preventive services based on your individual needs.

Preventive Services for Children

• Alcohol/Drug Use assessments for adolescents
• Autism screening for children at 18 and 24 months
• Behavioral assessments for children of all ages
• Blood Pressure screening for children
• Cervical Dysplasia screening for sexually active females
• Congenital Hypothyroidism screening for newborns
• Depression screening for adolescents at higher risk
• Developmental screening for children under age 3, and surveillance throughout childhood
• Fluoride chemoprevention supplements for children without fluoride in their water source
• Gonorrhea preventive eye medication for newborns
• Hearing screening for all newborns
• Height, Weight and Body Mass Index measurements for children
• Hematocrit or Hemoglobin screening for children
• Hemoglobinopathis or sickle cell screening for newborns with “Genetic Disposition”
• HIV screening for adolescents at higher risk
• Immunization vaccines for children from birth to age 18 - doses, recommended ages, and recommended populations vary:
  

  -	DtaP: Diphtheria, Tetanus, Pertussis		-	MMR: Measles, Mumps, Rubella
  -	Haemophilus influenzae Type B		-	Meningococcal
  -	Hepatitis A and B		-	Pneumococcal (PCV)
  -	Human Papillomavirus (HPV)		-	Rotavirus
  -	Inactivated Poliovirus Influenza		-	Varicella

  
  
• Iron supplements for children ages 6 to 12 months at risk for anemia
• Lead screening for children at risk of exposure
• Medical History for all children
• Obesity screening and counseling
• Oral Health risk assessment for young children
• Phenylketonuria (PKU) screening for newborns
• Sexually Transmitted Infection (STI) prevention counseling for adolescents at higher risk
• Tuberculin testing for children at higher risk of tuberculosis
• Vision screening for all children
• FOR OH residents only:
  

  -	Child Health Supervision (hearing screening)
  -	Well baby and well child visits to be covered through age 21