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Preventive Services

Fidelis Care is proud to offer the full range of recommended preventive services at no cost to you. We encourage you to take advantage of these important benefits: They help you live your healthiest life!

Children Under Age 19
  • Alcohol, tobacco, and drug use assessments for adolescents
  • Anemia screening, metabolic screening, Cystic fibrosis screening, and Tuberculosis Testing
  • Anxiety Screening for children ages 12-18
  • Autism screening for children 18-36 months
  • Behavioral assessments 
  • Bilirubin concentration screenings for newborns
  • Blood pressure screening 
  • Depression screening for children beginning routinely at age 12
  • Developmental screening for children under age 3
  • Dyslipidemia screening for all children once between ages 9-11 and once between ages 17-21, and for children at higher risk of lipid disorders
  • Gonorrhea preventive medication for the eyes of all newborns
  • Hearing screening
  • Height, weight, and body mass index (BMI) measurements
  • Hemobloginopathies or sickle cell screening
  • Hepatitis B screening
  • Hepatitis C screening for children ages 11-18, with evidence or indication of risk activity (effective May 3, 2024)
  • HIV Screening for adolescents at higher risk
  • Hypothyroidism screening for newborns
  • Lead screening
  • Obesity screening and counseling
  • Phenylketonuria (PKU) screening for newborns
  • Prophylactic ocular topical medication for all newborns
  • Sexually transmitted Infection (STI) prevention counseling and screening for adolescents at higher risk
  • Tuberculin testing for children at higher risk of tuberculosis
  • Vision Screening

Immunizations:

  • Diphtheria, tetanus, pertussis (whooping cough)
  • Haemophilius influenza type b
  • Hepatitis A
  • Hepatitis B
  • Human Papillomavirus (HPV)
  • Inactivated Poliovirus
  • Influenza (flu shot)
  • Measles, Mumps, Rubella (MMR)
  • Meningococcal
  • Pneumococcal
  • Rotavirus
  • Varicella (Chickenpox)


Source: healthcare.gov

Adults

Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked

Alcohol misuse screening and counseling

Blood pressure screening

Colorectal cancer screening for adults 45 to 75

Depression screening

Diabetes (Type 2) screening for adults 35 to 70 years who are overweight or obese

Diet counseling for adults at higher risk for chronic disease

Hepatitis B screening for people at high risk, including people from countries with 2% or more Hepatitis B prevalence, and U.S.-born people not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence.

Hepatitis C screening (effective May 3, 2024)

High blood pressure screening every year for 40 and above and those at high risk and every 3-5 years for those 18 and older

HIV screening for everyone ages 15 to 65, and other ages at increased risk

Immunization vaccines for adults — doses, recommended ages, and recommended populations vary:

  • Diphtheria
  • Hepatitis A
  • Hepatitis B
  • Human Papilomavirus (HPV)
  • Influenza (flu shot)
  • Measles
  • Meningococcal
  • Mumps
  • Pertussis
  • Pneumococcal
  • Rubella
  • Tetanus
  • Varicella (Chickenpox)

Preexposure prophylaxis (PrEP) with effective antiretroviral therapy to persons who are at high risk of HIV acquisition ages 12 and up

Prostate cancer screening for men ages 40 and above

Sexually transmitted infection (STI) prevention counseling for adults at higher risk

Screening for anxiety disorders in adults, including pregnant and postpartum persons

Statin preventive medication for adults 40 to 75 at high risk

Tuberculosis screening for certain adults without symptoms at high risk


Source: healthcare.gov

Adults Over 50

Adults over 50 should receive all preventive screenings for adults, as well as:

Colorectal cancer screening for adults 45 to 75

Fall prevention (with exercise or physical therapy and vitamin D use) for adults 65 years and over, living in a community setting

Lung cancer screening for adults 50-80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years

Hepatitis C screening (effective May 3, 2024)

Source: healthcare.gov

Women

Breast cancer genetic test counseling (BRCA) for women at higher risk

Breast Cancer Medications for Risk Reduction for women who are at increased risk for breast cancer and at low risk for adverse medication effects

Breast cancer screening 

Cervical cancer screening

Pap test (also called a Pap smear) every 3 years for women

Human Papillomavirus (HPV) testing for ages 21 to 29

Human Papillomavirus (HPV) testing for ages 30 to 65 with testing every 3 years (cervical cytology), every 5 years (hrHPV testing), or every 5 years with (hrHPV testing in combination with cytology)

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

Domestic and interpersonal violence screening and counseling for all women

Gonorrhea screening for all women at higher risk

HIV screening and counseling for sexually active women

Hepatitis C screening (effective May 3, 2024)

Osteoporosis screening for women over age 60 depending on risk factors

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


Source: healthcare.gov

Women who are pregnant, or may become pregnant
  • Anemia screening on a routine basis
  • Aspirin use to prevent preeclampsia and related morbidity and mortality, preventive medication
  • Asymptomatic Bacteriuria screening
  • 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.” Learn more about contraceptive coverage.
  • Expanded tobacco intervention and counseling for pregnant tobacco users
  • Folic acid supplements for women who may become pregnant
  • Gestational diabetes screening for women at or after 24 weeks of pregnancy and those at high risk of developing gestational diabetes
  • Gonorrhea screening for all women at higher risk
  • Hepatitis B screening for pregnant women at their first prenatal visit
  • Hepatitis C screening during each pregnancy (effective May 3, 2024)
  • HIV infection screening
  • Preeclampsia prevention and screening for pregnant women with high blood pressure
  • Rh incompatibility screening follow-up testing for women at higher risk
  • Syphilis screening
  • Urinary tract or other infection screening

Source: healthcare.gov


Preventive services covered at no cost to you follow recommendations from the US Preventive Services Task Force, the Health Resources & Services Administration, and Bright Futures, a national health promotion initiative lead by the American Academy of Pediatrics. 


Please note that these Preventative Services do not apply to Medicare plans. For more information on Medicare please visit Medicare Preventive Services.


 

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