Specific benefits required by law are as follows:
For Children:
- Autism Screening: for children at 18 and 24 months
- Behavioral Assessments: for children at the following ages: 0-11 months, 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Blood Pressure Screening: for children at the following ages: 0-11 months, 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Cervical Dysplasia Screening: for sexually active females
- Depression Screening: for adolescents
- Developmental Screening: for children under age 3
- Dyslipidemia Screening: for children at higher risk of lipid disorders at the following ages: 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Fluoride Chemoprevention Supplements: for children without fluoride in their water source
- Gonorrhea Preventive Medication: for the eyes of all newborns
- Hearing Screening: for all newborns
- Height, Weight, and Body Mass Index Measurements: for children at the following ages: 0-11 months, 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Hematocrit or Hemoglobin Screening: for children
- Hemoglobinopathies or Sickle Cell Screening: for newborns
- HIV Screening: for adolescents at higher risk
- Hypothyroidism Screening: for newborns
- Immunizations: for children from birth to age 18 - doses, recommended ages and populations vary. http://www.cdc.gov/vaccines/schedules/
- Iron Supplements: for children ages 6-12 months at risk for anemia
- Lead Screening: for children at risk of exposure
- Medical History: for all children throughout development at the following ages: 0-11 months, 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Obesity Screening and Counseling
- Oral Health Risk Assessment: for children ages 0-11 months, 1-4 years, 5-10 years
- Phenylketonuria (PKU) Screening: for newborns
- Sexually Transmitted Infection Prevention Counseling and Screening: for adolescents at higher risk
- Tuberculin Testing: for children at higher risk of tuberculosis at the following ages 0-11 months, 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Vision Screening: for all children
For Adults:
- Abdominal Aortic Aneurysm Screening: one time for men of certain ages who have ever smoked
- Alcohol Misuse Screening and Counseling
- Aspirin Use: to prevent cardiovascular disease for men and women of certain ages
- Blood Pressure Screening: for all adults
- Cholesterol Screening: for all adults of certain ages or at higher risk
- Colorectal Cancer Screening: for adults over age 50
- Depression Screening: for adults
- Diabetes Screening: for adults with high blood pressure
- Diet Counseling: for adults at higher risk for chronic disease
- HIV Screening: for everyone ages 15 to 65, and other ages at increased risk
- Immunizations: doses, recommended ages, and recommended populations vary. http://www.cdc.gov/vaccines/schedules/
- Sexually Transmitted Infection Prevention Counseling: for adults at higher risk
- Syphilis Screening: for all adults at higher risk
- Tobacco Use Screening: for all adults and cessation interventions for tobacco users
For Women:
- Anemia Screening: for pregnant women
- Breast Cancer Genetic Test Counseling (BRCA): for women at higher risk for breast cancer
- Breast Cancer Mammograms: every 1-2 years for women over age 40
- Breast Cancer Chemoprevention Counseling: for women at higher risk
- Breastfeeding Comprehensive Support and Counseling: from trained providers, for pregnant and nursing women
- Cervical Cancer Screening: for sexually active women
- Chlamydia Infection Screening: for younger women and other women at higher risk
- Contraception: FDA-approved contraceptive methods, sterilization procedures, and patient education and counseling, as prescribed by a health care provider for women with reproductive capacity. (This does not apply to health plans sponsored by certain exempt "religious employers.")
- Domestic and Interpersonal Violence Screening and Counseling: for all women
- Folic Acid: supplements for women who may become pregnant
- Gestational Diabetes Screening: for women 24-28 weeks pregnant and those at higher risk
- Gonorrhea Screening: for all women at higher risk
- Hepatitis B Screening: for pregnant women at the first prenatal visit
- HIV Screening and Counseling: for sexually active women
- HPV DNA Test: every 3 years for women with normal PAP smears who are 30 and older
- Osteoporosis Screening: for women over age 60 depending on risk factors
- Rh Incompatibility Screening: for all pregnant women and follow-up testing for women at higher risk
- Sexually Transmitted Infections Counseling: for sexually active women
- Syphilis Screening: for all pregnant women or other women at increased risk
- Tobacco Use Screening and Interventions: for all women, and expanded counseling for pregnant tobacco users
- Urinary Tract or Other Infection Screening: for pregnant women
- Well Woman Visits: to get recommended services for women under age 65, typically includes breast and pelvic exams, and PAP smear