As of September 23, 2010, new and non-grandfathered individual and group health plans must cover in-network preventive services and immunizations without cost sharing (e.g., deductibles, coinsurance, copayments) or annual limits.
Preventive care services and immunizations include:
- Recommended evidence-based preventive services from the United States Preventive Services Task Force with a rating of A or B
- Immunizations recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention
- Preventive care guidelines developed by the Health Resources and Services Administration and the American Academy of Pediatrics
- Effective August 1, 2012: expanded list of women’s preventive services, including well-woman visits, support for breastfeeding equipment, contraception and domestic violence screening
- Preventive Care FAQ
- Coverage of preventive health services without cost-sharing fact sheet
- No Cost Preventive Medications by Drug Category guide - consumer version
- No Cost Preventive Medications by Drug Category guide - health care professional version
Follow the evolution of the preventive services provision through our News Alerts:
- Proposed Rule Addresses Contraceptive Mandate for Non-Profit Religious - 2/4/13
- HHS Clarifies Women's Preventive Health Safe Harbor Bulletin - 8/16/12
- Women's Preventive Health - Non-Profit Employers - 1/23/12
- New Guidelines Additional Women's Preventive Care - 8/3/11
- Final Interim Guidance - Preventive Health Services without Cost-Sharing - 7/15/10
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