Women’s Preventive Health Care

 

Under the Affordable Care Act, women’s preventive health care – such as mammograms, screenings for cervical cancer, prenatal care, and other services – is covered with no cost sharing to members. Services must be provided by in-network providers to qualify for 100% coverage.

Type of Preventive Service

Coverage

Frequency

Well-woman visits.

Well-woman preventive care visit annually for adult women to obtain the recommended preventive services that are age and developmentally appropriate, including preconception and prenatal care. This well-woman visit should, where appropriate, include other preventive services listed.

Annual

Screening for gestational diabetes.

Screening for gestational diabetes.

In pregnant women between 24 and 28 weeks of gestation and at the first prenatal visit for pregnant women identified to be at high risk for diabetes.  

Human papillomavirus testing.

High-risk human papillomavirus DNA testing in women with normal cytology results.

Screening should begin at 30 years of age and should occur no more frequently than every 3 years.

Counseling for sexually transmitted infections.

Counseling on sexually transmitted infections for all sexually active women.

Annual

Counseling and screening for human immune-deficiency virus.

Counseling and screening for human immune-deficiency virus infection for all sexually active women.

Annual

Contraceptive methods and counseling.

Barrier contraceptive - diaphragms only

Hormonal – generics only

Emergency contraceptive – generics only

Implant contraceptive – Mirena only 

As prescribed

Breastfeeding support, supplies, and counseling.

Comprehensive lactation support and counseling, by a trained provider during pregnancy and/or in the postpartum period, and costs for renting manual breastfeeding equipment.

In conjunction with each birth; see breastfeeding supplies

Screening and counseling for interpersonal and domestic violence.

Screening and counseling for interpersonal and domestic violence.

Annual

Reviewed 2013-04-30.