Preventive Services

The following lists the specified preventive care services covered without copayments, deductibles, or coinsurance (as long as they are administered by in-network providers). Preventive care services as specified by the U.S. Preventive Services Task Force, Centers for Disease Control and Prevention, and the Health Resources and Services Administration. This information is based on Tufts Health Plans review of the national health care reform legislation. Interpretations of the reform legislation vary, and efforts will be made to present and update accurate information. Analysis is ongoing, and additional guidance is also anticipated from the Department of Health and Human Services. This list is subject to change. SCREENINGS
Asymptomatic Bacteria: Screening - Pregnant women Cervical Cancer: Screening - Women who are sexually active Chlamydia: Screening - Women ages 24 and younger or 25 and older at increased risk Colorectal Cancer: Screening - Adults, beginning at 50 and continuing until 75 HIV: Screening - Adults and adolescents at increased risk HIV: Screening - Pregnant women Hepatitis B Virus: Screening - Pregnant women Lipid Disorders in Adults: Screening - Men 35 and older Lipid Disorders in Adults: Screening - Women 45 and older, increased risk for CHD Rh(D) Blood Typing: Screening - Pregnant women, first pregnancy-related visit Syphilis: Screening - Pregnant women Syphilis: Screening - Men and women at increased risk Abdominal Aortic Aneurysm: Screening - Men 65-75, smoker Breast Cancer: Screening with mammography - Women 50-74 years Depression: Screening - Adolescents, 12-18 years old, in clinical practices with systems of care Depression: Screening - Adults 18 and over, when staff-assisted depression care supports are in place Gonorrhea: Screening - Pregnant women and women at increased risk Iron Deficiency Anemia: Screening - Asymptomatic pregnant women Lipid Disorders in Adults: Screening - Men 20-34, increased risk for CHD Lipid Disorders in Adults: Screening - Women 20-44, increased risk for CHD Obesity: Screening - Children and adolescents, ages 6-17 Osteoporosis: Screening - Postmenopausal women 65 years and older with no risk factors, or 60 years and older with risk factors Rh(D) Blood Typing: Screening - Antibody testing unsensitized Rh(D) - Negative pregnant women Type 2 Diabetes Mellitus: Screening - Men and women with sustained BP 135/80+ Visual Impairment: Screening - Children younger than 5 years

continued on reverse

tuftshealthplan.com

PEDIATRIC SCREENINGS
History (initial/interval); Measurements (length/height and weight; head circumference; weight for length, body mass index, blood pressure); Sensory Screening (vision; hearing) Developmental/Behavioral Assessment (developmental screening; autism screening; developmental surveillance; psychological/ behavioral assessment; alcohol and drug assessment) Physical Examination Newborn Metabolic/Hemoglobin Screening Hemocrit or Hemoglobin Lead Screening Tuberculin Test Dyslipidemia Screening STI Screening Cervical Dysplasia Screening

COUNSELING SERVICES
Tobacco Use: Counseling and intervention for adults Tobacco Use: Counseling and intervention for pregnant women Aspirin to Prevent CVD: Women ages 55 to 79, to prevent ischemic strokes Aspirin to Prevent CVD: Men ages 45 to 79, to prevent myocardial infarctions Alcohol Misuse: Screening and behavioral counseling - Men, women, pregnant women BRCA mutation counseling related to BRCA screening Breast Cancer: Preventive medication discussion - Women, increased risk Healthy Diet: Counseling - Adults with hyperlipidemia and other risk factors for CVD Obesity: Screening and intensive counseling - Obese men and women Sexually Transmitted Infections: Behavioral counseling - Sexually active adolescents and adults at increased risk

IMMUNIZATIONS
Rotavirus DTP Haemophilus influenzae Type B Inactivated poliovirus MMR Meningococcal HPV Tetanus, diphtheria, pertussis Human papillomavirus Varicella Zoster Measles, mumps, rubella Influenza Pneumococcal (polysaccharide and conjugated) Hepatitis A Hepatitis B Meningococcal

1/11