Adult preventive care

High-quality routine preventive care in adulthood helps maintain or improve your current and future health status.

Annual preventive visits

Annual Preventive visits with your Primary Care Provider (PCP) help ensure you are receiving the right preventive care services. These visits can help you prevent, catch, and treat illnesses or diseases early. At annual visits, A and B grade preventive services and more are covered at no ($0) out-of-pocket costs to you when received by an in-network provider.*

A + B grade preventive care services

A and B grade are preventive services that the U.S. Preventive Services Task Force (USPSTF), doctors, and scientists recommend to be of the greatest value in keeping you healthy.

All A and B grade recommendations are covered at no ($0) out-of-pocket costs to you when you use an in-network provider.

See a list of covered preventive services at HealthCare.gov.

For all adults

• Colorectal (colon) cancer screenings: The best way to beat colon cancer is to get screened. This cancer usually starts with precancerous polyps, which can be removed during a colonoscopy before they turn into a full-blown cancer.
• Vaccinations: To maintain immunity from certain diseases, adults need to keep their vaccinations up-to-date, including an annual flu vaccine.
• Depression screenings: These can help identify if you have depression, a common illness which can be treated.
• Tobacco use screening: Opens a conversation about the health benefits of quitting and smoking cessation programs, such as Freedom from Smoking and Quit for Life.

For women

• One annual preventive care visit to get age-appropriate service is covered. You can visit a Primary Care Provider (PCP) who specializes in internal medicine, family medicine, or obstetrics/gynecology. Cost-sharing will apply to other visits to these PCPs in the same calendar year.
• Breast cancer screening: A mammogram can help find cancer before you experience warning signs or symptoms. Mammograms and follow-up tests, if abnormalities are found, can give you the chance to find cancer at an early, more treatable stage. Follow-up tests and treatments are not considered preventive care and you may pay a share of costs.
• Cervical cancer screening: A Pap test to look for cell changes, or precancers, on the cervix that can become cancer if not treated.
• Breastfeeding counseling: To offer support options if the baby is not feeding well or if the mother is having concerns with breastfeeding, sore nipples, or painful breasts.
• Postpartum depression screening: Helps to identify symptoms of postpartum depression, a condition that causes great sadness and other symptoms. If diagnosed, treatment benefits both baby and mother.

Support for new or expecting parents

• Strong beginnings pregnancy overview
• Maternal and child health
• After delivery
• Mothers and Babies program

Adult vaccinations

Vaccinations are valuable at all ages. In adulthood, immunity from a vaccine can wear off and you may be at risk for new diseases. Your PCP will help keep you up-to-date on vaccinations, so make sure to schedule your annual preventive visit each year.

The specific vaccines you may need are determined by many different factors such as age, lifestyle, high-risk conditions, and previous vaccines. Talk to your PCP about what’s right for you.

* If your plan uses a provider network, review your summary of benefits and coverage for network provider details.