Preventive care services for children + teens
Covered preventive services
For commercial group and individual plans
These preventive services may be covered at no cost to you when they are delivered by a network provider. Preventive services follow suggested guidelines and may be subject to coverage limitations. Check with your plan administrator for details.
- Alcohol and drug use assessments for adolescents
- Autism spectrum screening for children up to age 3
- Behavioral assessments for children of all ages
- Bilirubin concentration screening for newborns
- Blood pressure screening for children
- Blood screening for newborns
- Cervical cancer screening for women ages 21-65
- Congenital hypothyroidism screening for newborns
- Depression screening for adolescents
- Developmental screening for children under age 3, and surveillance throughout childhood
- Fluoride Chemoprevention supplements for children without fluoride in their water source
- Fluoride supplements for children age 6 months and up without sufficient fluoride in their water source
- Gonorrhea preventive medication for the eyes of all newborns
- Initial hearing screening for all newborns
- Height, weight, and body mass index measurements for children
- Hematocrit or hemoglobin screening for all children
- Hemoglobinopathies or sickle cell disease screening for newborns
- Hepatitis B screening for high-risk adolescents
- HIV counseling and screening for all adolescents age 15 and up, and for younger adolescents at increased risk
- Hypothyroidism screening for newborns
- Immunization vaccines for children from birth through age 17. Doses, recommended ages, and recommended populations vary:
- Diphtheria, tetanus, pertussis
- Haemophilus influenzae type b
- Hepatitis A
- Hepatitis B
- Human papillomavirus
- Inactivated poliovirus
- Influenza
- Measles, mumps, rubella
- Meningococcal
- Pneumococcal
- Rotavirus
- Varicella
- Lead screening for children at risk of exposure
- Medical history for all children throughout development
- Obesity screening and counseling for children and adolescents
- Oral health risk assessment for young children
- Phenylketonuria screening for this genetic disorder in newborns
- Sexually transmitted infection counseling and screening for adolescents at higher risk
- Skin cancer behavioral counseling for adolescents and children
- Vision screening for all children. Please note: this service is only covered as preventive when it’s done as part of a well baby checkup. Any additional screenings or eye exam would have a diagnostic code and therefore is not considered preventive.
- Well baby/child checkups for preventative care and services