Preventive Services for Pregnancy SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Anemia Screening Screening Annual screening for pregnant women

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1 Preventive Services for Pregnancy SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Anemia Annual screening for pregnant women Bacteriuria For pregnant women at weeks gestation or first prenatal visit Breastfeeding Counseling Counseling During pregnancy and 1 year after birth Gestational Diabetes For pregnant women after 24 weeks gestation Hepatitis B For pregnant women at their first prenatal visit Human Immunodeficiency Virus (HIV) For pregnant women Rh Incompatibility For pregnant women during their first prenatal visit and repeated screening for unsensitized Rh(D)-negative women at weeks gestation, unless the biological father is known to be Rh(D)-negative Syphilis For pregnant women Tobacco Use & Counseling & Counseling for pregnant women and counseling for pregnant women who smoke

2 Gonorrhea Prophylactic Medication* Medication Birth Hearing Loss Birth Hematocrit/Hemoglobin Testing* Test One test between 4-11 months Hemoglobinopathies/Sickle Cell Birth Hypothyroidism Birth Immunizations/Vaccinations See Child Immunization Schedule See Child Immunization Schedule Lead * Only for newborns at risk of exposure Pediatrician Preventive Visit Preventive Services for Newborns (Age 0-11 Months) 2. Developmental 3. Height, Weight & Body Mass Index 4. Medical History 5. Office Visit Birth, 3-5 days, 2 weeks, 1 month, 2 months, 4 months, 6 months and 9 months Phenylketonuria (PKU) Birth Oral Health Risk Assessment Assessment One assessment between 0-11 months Pediatrician Visits Office Visit

3 Autism 18 months and 2 years Dyslipidemia Test* Test 1, 2, 3, 4 and 5 years Hematocrit/Hemoglobin Testing* Test One test between 1-5 years Immunizations/Vaccinations See Child Immunization Schedule See Child Immunization Schedule Lead * Only for children at risk of exposure Pediatrician Preventive Visit Preventive Services for Children (Age 1-5 Years) 2. Developmental 3. Height, Weight & Body Mass Index 4. Medical History 5. Office Visit 1 year, 15 months, 18 months, 2 years, 30 months, 3 years, 4 years and 5 years Oral Health Risk Assessment Assessment One assessment between 1-5 years Tuberculin Test* Test 1, 2, 3, 4 and 5 years Visual Acuity One screening between 3-5 years Pediatrician Visits Office Visit

4 Hematocrit/Hemoglobin Testing* Test One test between 6-10 years Immunizations/Vaccinations See Child Immunization Schedule See Child Immunization Schedule Lead * Only for children at risk of exposure Pediatrician Preventive Visit 2. Developmental 3. Dyslipidemia Test* 4. Height, Weight & Body Mass Index 5. Medical History 6, 7, 8, 9 and 10 years 6. Obesity & Counseling 7. Office Visit 8. Tobacco Use Intervention 9. Tuberculin Test* Oral Health Risk Assessment Assessment One assessment between 6-10 years Skin Cancer Behavioral Counseling Counseling 10 years Pediatrician Visits Office Visit Preventive Services for Children (Age 6-10 Years)

5 Cervical Dysplasia Only for sexually active young adolescents Depression Annually for years Human Immunodeficiency Virus (HIV) * Only for young adolescents at risk Immunizations/Vaccinations See Child Immunization Schedule See Child Immunization Schedule Lead * Only for young adolescents at risk of exposure Pediatrician Preventive Visit 2. Developmental 3. Dyslipidemia Test* 4. Height, Weight & Body Mass Index 5. Hematocrit/Hemoglobin Test* 6. Medical History. 11, 12, 13 and 14 years 7. Obesity & Counseling 8. Office Visit 9. Skin Cancer Behavioral Counseling 10. Tobacco Use Intervention 11. Tuberculin Test* Sexually Transmitted Infections (STI) Counseling Counseling Only for sexually active young adolescents Pediatrician Visits Office Visit Preventive Services for Young Adolescents (Age Years)

6 Cervical Dysplasia Only for sexually active adolescents Dyslipidemia Test* Test 15, 16, and 17 years Hematocrit/Hemoglobin Testing* Test 15, 16, and 17 years Human Immunodeficiency Virus (HIV) * Only for adolescents at risk Immunizations/Vaccinations See Child Immunization Schedule See Child Immunization Schedule Lead * Only for adolescents at risk of exposure Pediatrician Preventive Visit 2. Depression 3. Developmental 4. Height, Weight & Body Mass Index 5. Medical History 15, 16, 17 & 18 years 6. Obesity & Counseling 7. Office Visit 8. Skin Cancer Behavioral Counseling 9. Tobacco Use Intervention Sexually Transmitted Infections (STI) Counseling Counseling Only for sexually active adolescents Tuberculin Test* Test 15, 16, and 17 years Pediatrician Visits Office Visit Preventive Services for Adolescents (Age Years)

7 Preventive Services for Young Adults (Age Years) SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Alcohol Misuse & Counseling* & Counseling Only for adults engaged in risky or hazardous drinking BRCA Risk Assessment, Genetic Counseling & Testing* Assessment, Counseling & Testing One-time screening only for women who have family members with breast, ovarian, tubal or peritoneal cancer Cervical Cancer Every 3 years for women age 21 and older Chlamydia For sexually active women age 24 or younger Cholesterol * Only for men and women age 20 and older at risk for coronary heart disease Gonorrhea For sexually active women age 24 or younger Healthy Diet & Physical Exercise Counseling* Counseling Only for overweight or obese adults that have additional cardiovascular disease (CVD) risk factors Hematocrit/Hemoglobin Testing* Test 19, 20 and 21 years Hepatitis C * Only for adults at risk Human Immunodeficiency Virus (HIV) * Only for adults at risk Immunizations/Vaccinations See Adult Immunization Schedule See Adult Immunization Schedule Intimate Partner Violence & Counseling & Counseling For women of childbearing age & counseling for women who test positive Osteoporosis * Only for women under the age of 65 whose fracture risk is equal to or greater than that of a 65 year old woman who has no additional risk factors PCP OR OBGYN Physical Examinations 2. Depression 3. Obesity 4. Office Visit Annually 5. Tobacco Use 6. Skin Cancer Counseling Sexually Transmitted Infections (STI) Counseling* Counseling Only for adults at high risk Syphilis * Only for adults at high risk Tobacco Use Counseling Counseling (Cessation Intervention) For adult tobacco users Type 2 Diabetes Every 3 years for asymptomatic adults with sustained blood pressure (treated or untreated) greater than 135/80 mm Hg Breast Cancer Colorectal Cancer PCP Visits (Medical or Behavioral; Preventive or Diagnostic) Prostate Cancer PSA Test at a WellStar Facility at a WellStar Facility Office Visit Test at a WellStar Facility

8 Preventive Services for Adults (Age Years) SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Alcohol Misuse & Counseling* & Counseling Only for adults engaged in risky or hazardous drinking BRCA Risk Assessment, Genetic Counseling & Testing* Assessment, Counseling & Testing One-time screening only for women who have family members with breast, ovarian, tubal or peritoneal cancer Breast Cancer For women years Breast Cancer Chemoprevention Medication For women who are at increased risk of breast cancer and low risk for adverse medication effects Cervical Cancer Every 3-5 years for women age 25 and older Chlamydia * Only for sexually active women age 25 and older at high risk Cholesterol * Only for men years and women age 34 and older at risk for coronary heart disease Gonorrhea * Only for sexually active women age 25 and older at high risk Healthy Diet & Physical Exercise Counseling* Counseling Only for overweight or obese adults that have additional cardiovascular disease (CVD) risk factors Hepatitis C * Only for adults at risk Human Papillomavirus (HPV) DNA Test Test Every 3 years for women age 30 and older with normal cytology results Immunizations/Vaccinations See Adult Immunization Schedule See Adult Immunization Schedule Intimate Partner Violence & Counseling & Counseling For women of childbearing age & counseling for women who test positive Obesity Counseling* Counseling Only for adults with a body mass index of 30kg/m2 or higher Osteoporosis * Only for women age 29 and older whose fracture risk is equal to or greater than that of a 65 year old woman who has no additional risk factors PCP OR OBGYN Physical Examinations 2. Cholesterol - For men age 35 and older 3. Depression 4. Human Immunodeficiency Virus (HIV) Annually 5. Obesity 6. Office Visit 7. Tobacco Use Sexually Transmitted Infections (STI) Counseling* Counseling Only for adults at high risk Syphilis * Only for adults at high risk Tobacco Use Counseling Counseling (Cessation Intervention) For adult tobacco users Type 2 Diabetes Every 3 years for asymptomatic adults with sustained blood pressure (treated or untreated) greater than 135/80 mm Hg Breast Cancer Colorectal Cancer PCP Visits (Medical or Behavioral; Preventive or Diagnostic) Prostate Cancer PSA Test at a WellStar Facility at a WellStar Facility Office Visit Test at a WellStar Facility

9 Preventive Services for Adults (Age Years) SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Alcohol Misuse & Counseling* & Counseling Only for adults engaged in risky or hazardous drinking BRCA Risk Assessment, Genetic Counseling & Testing* Assessment, Counseling & Testing One-time screening only for women who have family members with breast, ovarian, tubal or peritoneal cancer Breast Cancer For women age 50 and older Breast Cancer Chemoprevention Medication For women who are at increased risk of breast cancer and low risk for adverse medication effects Cervical Cancer Every 3-5 years for women age 50 and older Chlamydia * Only for sexually active women age 50 and older at high risk Cholesterol * Only for women age 50 and older at risk for coronary heart disease Colorectal Cancer Every 5-10 years for adults age 50 and older Gonorrhea * Only for sexually active women age 50 and older at high risk Healthy Diet & Physical Exercise Counseling* Counseling Only for overweight or obese adults that have additional cardiovascular disease (CVD) risk factors Hepatitis C One-time screening for adults born between & for adults at risk Human Papillomavirus (HPV) DNA Test Test Every 3 years for women age 50 and older with normal cytology results Immunizations/Vaccinations See Adult Immunization Schedule See Adult Immunization Schedule Intimate Partner Violence & Counseling & Counseling For women of childbearing age & counseling for women who test positive Lung Cancer Only for age 55 and older who have a 30 pack a year smoking history and currently smoke or have quit within the past 15 years Obesity Counseling* Counseling Only for adults with a body mass index of 30kg/m2 or higher Osteoporosis * Only for women age 50 and older whose fracture risk is equal to or greater than that of a 65 year old woman who has no additional risk factors PCP OR OBGYN Physical Examinations 2. Cholesterol - For men age 50 and older 3. Depression 4. Human Immunodeficiency Virus (HIV) Annually 5. Obesity 6. Office Visit 7. Tobacco Use Sexually Transmitted Infections (STI) Counseling* Counseling Only for adults at high risk Syphilis * Only for adults at high risk Tobacco Use Counseling Counseling (Cessation Intervention) For adult tobacco users Type 2 Diabetes Every 3 years for asymptomatic adults with sustained blood pressure (treated or untreated) greater than 135/80 mm Hg Breast Cancer Colorectal Cancer PCP Visits (Medical or Behavioral; Preventive or Diagnostic) Prostate Cancer PSA Test at a WellStar Facility at a WellStar Facility Office Visit Test at a WellStar Facility

10 Abdominal Aortic Aneurysm For men years with a history of smoking Alcohol Misuse & Counseling* & Counseling Only for adults engaged in risky or hazardous drinking BRCA Risk Assessment, Genetic Counseling & Testing* Assessment, Counseling & Testing One-time screening only for women who have family members with breast, ovarian, tubal or peritoneal cancer Breast Cancer For women age 65 and older Breast Cancer Chemoprevention Medication For women who are at increased risk of breast cancer and low risk for adverse medication effects Chlamydia * Only for sexually active women age 65 and older at high risk Cholesterol * Only for women age 65 and older at risk for coronary heart disease Colorectal Cancer Every 5-10 years for adults years Fall Prevention Therapy* Exercise/Physical Therapy Only for community dwelling adults age 65 and older at risk for falls Gonorrhea * Only for sexually active women age 65 and older at high risk Healthy Diet & Physical Exercise Counseling* Counseling Only for overweight or obese adults that have additional cardiovascular disease (CVD) risk factors Hepatitis C One-time screening for adults born between & for adults at risk Human Immunodeficiency Virus (HIV) * Only for adults age 65 and older that are at risk Human Papillomavirus (HPV) DNA Test Test Every 3 years for women age 65 and older with normal cytology results Immunizations/Vaccinations See Adult Immunization Schedule See Adult Immunization Schedule Intimate Partner Violence & Counseling & Counseling For women of childbearing age & counseling for women who test positive Obesity Counseling* Counseling Only for adults with a body mass index of 30kg/m2 or higher Osteoporosis For women age 65 and older PCP Physical Examinations 2. Cholesterol - Only for men age 65 and older 3. Depression 4. Human Immunodeficiency Virus (HIV) Annually 5. Obesity 6. Office Visit 7. Tobacco Use Sexually Transmitted Infections (STI) Counseling* Counseling Only for adults at high risk Syphilis * Only for adults at high risk Tobacco Use Counseling Counseling (Cessation Intervention) For adult tobacco users Type 2 Diabetes Every 3 years for asymptomatic adults with sustained blood pressure (treated or untreated) greater than 135/80 mm Hg Breast Cancer Colorectal Cancer PCP Visits (Medical or Behavioral; Preventive or Diagnostic) Prostate Cancer PSA Test at a WellStar Facility at a WellStar Facility Office Visit Test at a WellStar Facility Preventive Services for Adults (Age 65+ Years)

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