56 3. Preventive care and screenings for infants, children, and adolescents as listed in the guidelines supported by the Health Resources and Services Administration; 4. Preventive care and screening for women as listed in the guidelines supported by the Health Resources and Services Administration, including: a. Women’s contraceptives, sterilization treatments, and counseling. Coverage includes contraceptive devices such as diaphragms. Benefits are not available, however, for intrauterine devices (IUDs) or implants . b. Breastfeeding support, supplies, and counseling. Benefits for breast pumps are limited to one pump per pregnancy. c. Gestational diabetes screening. 5. Preventive care services for smoking cessation and tobacco cessation for Members age 18 and older as recommended by the United States Preventive Services Task Force including counseling. 6. Prescription Drugs and OTC items identified as an A or B recommendation by the United States Preventive Services Task Force when prescribed by a Provider including: a. Aspirin b. Folic acid supplement c. Bowel preparations d. FDA - approved preexposure prophylaxis (PrEP), related services and monitoring including follow - up HIV testing and additional testing to monitor the effects of the PrEP medications. Please note that certain age and gender and quantity limitations apply. You may call Member Services at the number on your Identification Card for more details about these services or view the federal government’s websites, http://www.healthcare.gov/ what - are - my - preventive - care - benefits , http://www.ahrq.gov , and http://www.cdc.gov/vaccines/ recs/acip/ . In addition to the Federal requirements above, preventive coverage also includes the following Covered Services: • Routine screening mammograms. • Routine prostate specific antigen testing. • Routine colorectal cancer examination and related laboratory tests. • Follow - up colonoscopy to a colorectal cancer screening test assigned either an "A" or "B" grade by the United States Preventive Services Task Force that was positive. Preventive Care for Chronic Conditions (per IRS guidelines) Members with certain chronic health conditions may be able to receive preventive care for those conditions prior to meeting their Deductible , when services are provided by an In - Network Provider . These benefits are available if the care qualifies under guidelines provided by the Treasury Department, Internal Revenue Service (IRS), and Department of Health and Human Services (HHS) (referred to as “the agencies”). This includes care for the following chronic conditions . Preventive Care For Members Diagnosed With Blood pressure monitor Hypertension

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