From Healthcare.Gov, following are the ACA preventive services (
here). These are all in 2023 ACA compliant plans, so this ruling, if implemented, would allow insurers to not offer some or all beginning 2024. Whether they do is another matter.
It seems intuitive that screenings are cost effective for the entire population and I would love to see any hard data showing otherwise.
Preventive care benefits for adults
All Marketplace health plans and many other plans must cover the following list of preventive services without charging you a copayment or coinsurance. This is true even if you haven’t met your yearly deductible.
Notice:
IMPORTANT
These services are free only when delivered by a doctor or other provider in your plan’s network.
- Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked
- Alcohol misuse screening and counseling
- Aspirin use to prevent cardiovascular disease and colorectal cancer for adults 50 to 59 years with a high cardiovascular risk
- Blood pressure screening
- Cholesterol screening for adults of certain ages or at higher risk
- Colorectal cancer screening for adults 45 to 75
- Depression screening
- Diabetes (Type 2) screening for adults 40 to 70 years who are overweight or obese
- Diet counseling for adults at higher risk for chronic disease
- Falls prevention (with exercise or physical therapy and vitamin D use) for adults 65 years and over, living in a community setting
- Hepatitis B screening for people at high risk, including people from countries with 2% or more Hepatitis B prevalence, and U.S.-born people not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence.
- Hepatitis C screening for adults age 18 to 79 years
- HIV screening for everyone age 15 to 65, and other ages at increased risk
PrEP (pre-exposure prophylaxis) HIV prevention medication for HIV-negative adults at high risk for getting HIV through sex or injection drug use
- Lung cancer screening for adults 50 to 80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years
- Obesity screening and counseling
- Sexually transmitted infection (STI) prevention counseling for adults at higher risk
- Statin preventive medication for adults 40 to 75 at high risk
- Syphilis screening for adults at higher risk
- Tobacco use screening for all adults and cessation interventions for tobacco users
- Tuberculosis screening for certain adults without symptoms at high risk
Immunizations for adults — doses, recommended ages, and recommended populations vary:
Chickenpox (Varicella)
Diphtheria
Flu (influenza)
Hepatitis A
Hepatitis B
Human Papillomavirus (HPV)
Measles
Meningococcal
Mumps
Whooping Cough (Pertussis)
Pneumococcal
Rubella
Shingles
Tetanus