Published on January 12, 2011

Preventable Services Covered under the Affordable Care Act  

The new Affordable Care Act that was signed into law on in March 2010 requires many insurance providers to cover some very important preventive screenings. There are some important details you need to know about the act, according to Healthcare.gov. They include:

  • This act applies to people enrolled in job-related health plans or individual health insurance policies created after March 23, 2010. If you are in such a health plan, this provision will affect you as soon as your plan begins its first new “plan year” or “policy year” on or after September 23, 2010.
  • If your health plan uses a network of providers, be aware that health plans are only required to provide these preventive services through an in-network provider. Your health plan may allow you to receive these services from an out-of-network provider, but may charge you a fee.
  • Your doctor may provide a preventive service, such as a cholesterol screening test, as part of an office visit. Be aware that your plan can require you to pay some costs of the office visit, if the preventive service is not the primary purpose of the visit, or if your doctor bills you for the preventive services separately from the office visit.
  • If you have questions about whether these new provisions apply to your plan, contact your insurer or plan administrator.  

The act includes a long list of services. Some of the preventive services covered for adults include cholesterol screenings, pregnancy-related services, immunizations and sexually transmitted infection prevention and education. The preventive measures parents can expect for their children vary by age. Some of these measures include autism screening, hearing, height and weight and body mass index evaluation.

 

Preventable Services Covered under the Affordable Care Act  

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Preventable Services Covered under the Affordable Care Act