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Preventive care for children & teens

Large and small tennis shoes of teens and children lined up

Covered preventive services

For 2020 individual plans

These preventive services may be covered at no cost to you when they are delivered by a network provider. Preventive services are provided according to suggested guidelines and may be subject to coverage limitations. Check with your plan administrator for details. 

  • Alcohol and drug use assessments for adolescents.
  • Autism spectrum screening for children up to age 3.
  • Behavioral assessments for children of all ages.
  • Bilirubin concentration screening for newborns.
  • Blood pressure screening for children.
  • Blood screening for newborns.
  • Cervical dysplasia screening for sexually active females.
  • Congenital hypothyroidism screening for newborns.
  • Depression screening for adolescents.
  • Developmental screening for children under age 3, and surveillance throughout childhood.
  • Dyslipidemia screening for children at higher risk of lipid disorders.
  • Fluoride Chemoprevention supplements for children without fluoride in their water source.
  • Fluoride varnish for children up to age 5.
  • Gonorrhea preventive medication for the eyes of all newborns
  • Initial hearing screening for all newborns
  • Height, weight and body mass index measurements for children
  • Hematocrit or hemoglobin screening for all children
  • Hemoglobinopathies or sickle cell disease screening for newborns
  • Hepatitis B screening for high risk adolescents
  • HIV counseling and screening for adolescents at higher risk
  • Hypothyroidism screening for newborns
  • Immunization vaccines for children from birth through age 17. Doses, recommended ages and recommended populations vary:
    • Diphtheria, tetanus, pertussis
    • Haemophilus influenzae type b
    • Hepatitis A
    • Hepatitis B
    • Human papillomavirus
    • Inactivated poliovirus
    • Influenza
    • Measles, mumps, rubella
    • Meningococcal
    • Pneumococcal
    • Rotavirus
    • Varicella
  • Iron supplements for children ages 6 to 12 months at risk for anemia
  • Lead screening for children at risk of exposure
  • Medical history for all children throughout development
  • Obesity screening and counseling for children and adolescent
  • Oral health risk assessment for young children
  • Phenylketonuria screening for this genetic disorder in newborns
  • Sexually transmitted infection counseling and screening for adolescents at higher risk
  • Skin cancer behavioral counseling for adolescents and children
  • Tobacco use interventions for children and adolescents
  • Tuberculin testing for children at higher risk of tuberculosis
  • Vision screening for all children. Please note: this service is only covered as preventive when it’s done as part of a well baby checkup. Any additional screenings or eye exam would have a diagnostic code and therefore is not considered preventive.
  • Well baby/child checkups for preventative care and services