Understanding Preventive Care Benefits

This document outlines the importance of preventive care versus diagnostic care and lists various preventive services and screenings available to adults.

Our health plans offer all the preventive care services and immunizations below at no cost to you 1 . If you are not sure which exams, tests, or shots are right for you, talk to your doctor. Preventive care vs. diagnostic care: Knowing the difference Preventive care helps protect you from getting sick. If your doctor recommends services when you have no symptoms, that’s preventive care. Diagnostic care is when you have symptoms, and your doctor recommends services to determine what’s causing those symptoms. Use your preventive care benefits Stay healthy and catch problems early for easier treatment Adult preventive care General preventive physical exams, screenings, and tests (all adults): • Alcohol and drug misuse: related screening and behavioral counseling • Anxiety, depression, and suicide risk screenings • Aortic aneurysm screening (for men who have smoked) • Behavioral counseling to promote a healthy diet and physical activity • High blood pressure (hypertension) screening • Bone density test to screen for osteoporosis • Cholesterol and lipid (fat) levels screening • Colorectal cancer screenings, including fecal occult blood test, barium enema, flexible sigmoidoscopy (exam of the large intestine), screening colonoscopy and related prep kit, and computed tomography (CT) colonography (as appropriate) 2 • Diabetes screening (type 2) 3 • Exercise interventions to prevent falls in adults over age 65

• Hepatitis B virus (HBV) screening for people at increased risk of infection • Hepatitis C virus (HCV) screening • Height, weight, and body mass index (BMI) measurements • Human immunodeficiency virus (HIV): screening and counseling • Interpersonal and domestic violence: screening and counseling • Lung cancer screening for adults aged 50 to 80 years who have a 20 pack year (packs per day X years of smoking) smoking history and currently smoke or have quit within the past 15 years 2 • Obesity: related screening and counseling 3 • Sexually transmitted infections: related screening and counseling • Syphilis infection screening for persons who are at increased risk • Tobacco use: related screening and behavioral counseling • Tuberculosis screening Women’s preventive care: • Breast cancer screenings, including exams, mammograms • Breastfeeding: primary care intervention to promote breastfeeding support, supplies, and counseling 4,5,6,7 • Chlamydia and gonorrhea screening • Contraceptive (birth control) counseling • BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing for women with personal family history of breast, ovarian, tubal, or peritoneal cancer 8 • Food and Drug Administration (FDA)-approved contraceptive medical services, including sterilization, provided by a doctor • Human papillomavirus (HPV) screening 5 • Pelvic exam and Pap test, including screening for cervical cancer • Pregnancy screenings, including gestational diabetes, hepatitis B, asymptomatic bacteriuria, Rh incompatibility, HIV, healthy weight, preeclampsia, and depression 5 • Urinary incontinence screening • Well-woman visits Immunizations: • Diphtheria, tetanus, and pertussis (whooping cough) • Hepatitis A and Hepatitis B • Human papillomavirus (HPV) • Influenza (flu) • Measles, mumps, and rubella (MMR) • Meningococcal (meningitis) • Monkeypox and/or smallpox (at risk) • Pneumococcal (pneumonia) • Respiratory syncytial virus (RSV) • Severe acute respiratory syndrome coronavirus 2 (SARS CoV 2)(COVID-19) • Varicella (chickenpox) • Zoster (shingles) T . u o y r o f t h g i r s ’ t a h w r o t c o d r u o y k s A . n o s r e p y r e v e r o f t h g i r e b t o n y a m y e h T . e g n a h c o t t c e j b u s e r a d n a ) A C A ( t c A e r a C e l b a d r o f f A e h t f o s n o i t a d n e m m o c e r e r a e v o b a d e t s i l s e c i v r e s e r a c e v i t n e v e r p e h T h t i w y c i l o p r o t c a r t n o c a t o n s i t e e h s s i h A d l e i h S e u l B d n a s s o r C e u l B m e h t n . e t a c fi i t r e c r o m r o f e r u s o l c s i d d n a ) C O E ( e g a r e v o c f o e c n e d i v e d e n i b m o c r u o y e e s e s a e l P . e l u r l l i w s n o i s i v o r p y c i l o p p u o r g e h t , y c i l o p p u o r g e h t d n a t e e h s s i h t n e e w t e b e c n e r e f f i d y n a s i e r e h t f I f . s n o i t a t i m i l d n a s n o i s u l c x e r o

Immunizations: • Chickenpox • Flu • Haemophilus influenza type B (HIB) • Hepatitis A and Hepatitis B • Human papillomavirus (HPV) • Meningitis • Measles, mumps, and rubella (MMR) • Pneumonia • Polio • Respiratory syncytial virus (RSV) • Rotavirus • Severe acute respiratory syndrome coronavirus 2 (SARS CoV 2)(COVID-19) • Whooping cough Child preventive care Preventive physical exams, screenings, and tests: • Anemia screening • Anxiety, depression, and suicide risk screenings • Autism Spectrum Disorder (ASD) screening • Blood pressure screening • Cervical dysplasia (abnormal cell growth on the cervix) screening • Cholesterol and lipid (fat) levels screening • Development and behavior screening • Hearing screening up to 21 years • Height, weight, and BMI measurements • Hemoglobin or hematocrit (blood count) screening • Hepatitis B screening • HIV screening • Lead testing • Newborn screening • Obesity: related screening and counseling • Ocular prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive medication: newborns • Oral (dental health) assessment, when done as part of a preventive care visit • Sexually transmitted infections: related screening and counseling • Skin cancer behavioral counseling for those ages 6 months to 24 years with fair skin • Sudden cardiac arrest/death risk assessment • Tobacco, alcohol, and drug use assessments • Vision screening for those ages 6 months to 5 year 9

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