ACA-Covered Preventive Health Services for Women

Most health plans must cover additional preventive health services for women, ensuring a comprehensive set of preventive services to meet women's unique health care needs.

Under the Patient Protection and Affordable Care Act (ACA), preventive services with a U.S. Preventive Services Task Force (USPSTF) grade of A or B must be covered by all Marketplace health plans and many other plans without charging a copayment or coinsurance. This is true even if the yearly deductible hasn't been met.

This applies only when these services are delivered by an in–network provider.

1. Anemia screening on a routine basis for pregnant women
2. Breast Cancer Genetic Test Counseling (BRCA) for women at higher risk for breast cancer
3. Breast Cancer Mammography screenings every 1 to 2 years for women over 40
4. Breast Cancer Chemoprevention counseling for women at higher risk
5. Breastfeeding comprehensive support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women
6. Cervical Cancer screening for sexually active women
7. Chlamydia Infection screening for younger women and other women at higher risk
8. 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."
9. Domestic and interpersonal violence screening and counseling for all women
10. Folic Acid supplements for women who may become pregnant
11. Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes
12. Gonorrhea screening for all women at higher risk
13. Hepatitis B screening for pregnant women at their first prenatal visit
14. HIV screening and counseling for sexually active women
15. Human Papillomavirus (HPV) DNA Test every 3 years for women with normal cytology results who are 30 or older
16. Osteoporosis screening for women over age 60 depending on risk factors
17. Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk
18. Sexually Transmitted Infections counseling for sexually active women
19. Syphilis screening for all pregnant women or other women at increased risk
20. Tobacco Use screening and interventions for all women, and expanded counseling for pregnant tobacco users
21. Urinary tract or other infection screening for pregnant women
22. Well-woman visits to get recommended services for women under 65

• ACA Covered Preventive Health Services for Women
• ACA Covered Preventive Health Services for Adults
• ACA Covered Preventive Health Services for Children

Sources:
Agency for Healthcare Research and Quality. Guide to Clinical Preventive Services: 2014. Available at: http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/preface.html

Healthcare.gov. Preventive care benefits. Available at: https://www.healthcare.gov/what-are-my-preventive-care-benefits/

U.S. Preventive Services Task Force. Available at: http://www.uspreventiveservicestaskforce.org/