Preventive Health Services

• Anemia screening on a routine basis
• Breastfeeding comprehensive support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women
• Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, as prescribed by a health care provider for women with reproductive capacity (not including abortifacient drugs). This does not apply to health plans sponsored by certain exempt “religious employers.” 
• Counseling interventions for pregnant and postpartum persons who are at increased risk of perinatal depression
• Expanded tobacco intervention and counseling for pregnant tobacco users
• Folic acid supplements for women who may become pregnant
• Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes
• Gonorrhea screening for all women at higher risk
• Hepatitis B virus infection in pregnant women at their first prenatal visit and in persons at high risk for infection. In addition, vaccination and HBIG for:
  • Infants born to women whose HBsAg status is unknown, but where evidence suggests HBsAg-positive status, within 12 hours of birth.
  • Medically stable newborns born to HBsAg negative mothers weighing at least 2,000 grams within 24 hours of birth, as well as vaccination of previously unvaccinated children and adolescents. As well as post-vaccination testing and revaccination if necessary.
  • Plans must also now cover a single-dose revaccination for infants born to HBsAg-positive women who are not responding to the initial series & Adults and Adolescents.
  • In addition to covering vaccines for people at risk for Hepatitis B, Plans will now be required to cover vaccination of people with chronic liver disease.
• Preeclampsia prevention and screening for pregnant women with high blood pressure
• Rh incompatibility screening for all pregnant women and follow-up testing for women at higher risk
• Syphilis screening
• Urinary tract or other infection screening

Other covered preventive services for women

• Breast cancer genetic test counseling (BRCA) for women at higher risk
• Breast cancer mammography screenings every 1 to 2 years for women over 40
• Breast cancer chemoprevention counseling for women at higher risk
• Cervical cancer screening
  • Pap test (also called a Pap smear) every 3 years for women 21 to 65
  • Human Papillomavirus (HPV) DNA test with the combination of a Pap smear every 5 years for women 30 to 65 who don’t want a Pap smear every 3 years
• Chlamydia infection screening for younger women and other women at higher risk
• Diabetes screening for women with a history of gestational diabetes who aren’t currently pregnant and who haven’t been diagnosed with type 2 diabetes before
• Gonorrhea screening for all women at higher risk
• HIV screening and counseling for sexually active women
• Maternal Depression Screening
• Rh incompatibility screening follow-up testing for women at higher risk
• Screening for Intimate Partner Violence and Elder Abuse in women of reproductive age and provide or refer women who screen positive to ongoing support services
• Screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in postmenopausal women younger than 65 years who are at increased risk of osteoporosis, as determined by a formal clinical risk assessment tool, and screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.
• Sexually transmitted infections counseling for sexually active women
• Skin cancer screening counseling interventions on increasing sun protection behaviors
• Syphilis screening for women at increased risk
• Tobacco use screening and interventions
• Urinary incontinence screening for women yearly
• Well-woman visits to get recommended services for women under 65