How Preventive Care Fits into Your Health Insurance Policy
If you are enrolled in an ACA-compliant health insurance plan, then you are entitled to receive a broad range of preventive services without cost-sharing responsibilities (money you pay), as long as the service is provided by a provider within your health insurance company’s network. This coverage first began in the fall of 2010 for those who enrolled in a new health insurance plan. Starting in January of 2014, this requirement expanded to plans offered in the individual health insurance market, as well as small and some large group markets.
Call For FREE Help (702) 898-0554
Covered Preventive Services for Adults and Children
There are four categories of preventive care that health insurance companies are required to provide coverage for without cost-sharing (money you pay).
Screenings and Counseling
Health insurance companies must provide evidence-based screening and counseling services for adults. Covered preventive services for adults includes:
♦ Depression screening
♦ Diabetes screening
♦ Obesity screening
♦ Diet counseling
♦ Screening for certain types of cancer
♦ Screening for HIV and sexually transmitted infection
♦ Blood pressure screening
♦ STI prevention counseling
Routine Immunizations
Health Insurance plans must completely cover routine immunizations for kids and adults, including:
♦ Flu shots
♦ Diphtheria, Tetanus, Pertussis
♦ Hepatitis A
♦ Hepatitis B
♦ Human Papillomavirus
♦ Poliovirus
♦ Measles, Mumps, Rubella
♦ Meningitis (meningococcal and pneumococcal)
♦ Rotavirus
♦ Varicella
Preventive Services for Children and Teens
In addition to the recommended routine vaccines and health screenings, health insurance plans must also provide coverage for preventive services for kids and teens. This includes:
♦ Behavioral and developmental assessments
♦ Iron and fluoride supplements
♦ Alcohol and drug use assessments
♦ Autism screening for children at 18 months and 24 months
♦ Blood pressure screening
♦ Hearing screening for newborns
♦ Height, weight and body mass index assessments
♦ HIV screening for high-risk adolescents
♦ Tuberculosis testing
♦ Obesity screening and counseling
♦ Oral health risk assessment
Preventative Services for Women
Women with an ACA-compliant health insurance plan are entitled to additional services with no cost-sharing obligations. These include:
♦ Well-woman visits
♦ Cervical cancer screening
♦ FDA-approved contraceptives and related services
♦ Screening and counseling for HIV and STIs
♦ Breastfeeding supplies and counseling
♦ Domestic violence screening
♦ Breast cancer chemoprevention counseling for high-risk women
♦ BRCA counseling about genetic testing for high-risk women
♦ Infection screenings for pregnant women
♦ Anemia screening for pregnant women
♦ Gestational diabetes screening for pregnant women
Call Us For Assistance
(702) 898-0554
Get a Fast & Free Online Quote
Understanding Your Health Insurance Coverage with Nevada Insurance Enrollment
Understanding your health insurance coverage is necessary to ensure that you are getting adequate health care service, regardless of your age and health status. To find a comprehensive health insurance policy and understand your health insurance coverage, contact Nevada Insurance Enrollment. Our health insurance agents can discuss your health insurance policy with you to make sure you understand what your policy covers.
Related Articles:
♦ What Is a Qualified Health Insurance Plan?
♦ How to get the most out of your Health Insurance plan
♦ What are Essential Health Benefits and who has to have them?
♦ New health insurance plans must cover preventative services
Read More: Health Insurance in Las Vegas, Nevada
Call us for assistance
(702) 898-0554
Serving Las Vegas, Henderson, North Las Vegas and the entire state of Nevada
Three Ways to Enroll
1). Apply by Phone
(702) 898-0554
2). Apply in Person
(by appointment ONLY)
Please call to make an appointment
3). Online Quote
Why Go Anywhere Else?
When you can have an experienced and caring professional guide you.
Insurance Quotes | Plans | Coverage
Nevada Insurance Quotes
Serving Las Vegas, Henderson, North Las Vegas and the entire State of Nevada
Auto | Homeowners | Health | Life | Medicare | Funeral / Cremation | Group Health | Short Term | Dental & Vision | Travel Insurance
Authorized Agent for: Nevada Health Link, Anthem Blue Cross & Blue Shield, Sierra Health & Life, Health Plan of Nevada, Aetna, Prominence, Hometown Health, Ambetter/Silver Summit
Farmers Insurance – Shelly Rogers Agency in Las Vegas, Nevada
