FOR PROVIDERS

The following preventive services will be covered at 100% (i.e., no cost-sharing, no co-pays, no co-insurance) when obtained within participating network:

• Abdominal Aortic Aneurysm one-time screening for men aged 65 to 75 who have ever smoked
• Alcohol Misuse screening and counseling
• Aspirin use for men (aged 45 to 79) and women (aged 55 to 79)
• Blood Pressure screening for all adults
• Cholesterol screening for adults of certain ages or at higher risk
• Colorectal Cancer screening for adults over 50
• Depression screening for adults
• Type 2 Diabetes screening for adults with high blood pressure
• Diet counseling for adults at higher risk for chronic disease
• HIV screening for all adults at higher risk
•  Immunization vaccines for adults- (doses, recommended ages, and recommended populations as determined by the CDC):
  • Hepatitis A
  • Hepatitis B
  • Herpes Zoster
  • Human Papillomavirus
  • Influenza
  • Measles, Mumps, Rubella
  • Meningococcal
  • Pneumococcal
  • Tetanus, Diphtheria, Pertussis
  •  Varicella
• Obesity screening and counseling for all adults
• Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk
• Tobacco Use screening for all adults and cessation interventions for tobacco users
• Syphilis screening for adults at higher risk

To obtain a paper copy of the documents listed above, please call the Member Engagement Center at the number listed on your AvMed ID card. (TTY 711 or 1-800-955-8771) Hours of service: 8:00 a.m.-8:00 p.m. Monday through Friday and Saturday from 9:00 a.m. to 1:00 p.m. You may also e-mail your request to members@avmed.org

References:

      1. Healthcare.gov Learning about Prevention.

The following preventive services will be covered at 100% (i.e., no cost-sharing, no co-pays, no co-

insurance) when obtained within participating network:

• Anemia screening on a routine basis for pregnant women
• Bacteriuria urinary tract or other infection screening for pregnant women
• BRCA counseling about genetic testing for women at higher risk
• Breast Cancer Mammography screenings every one (1) to two (2) years for women over 40
• Breast Cancer Chemoprevention counseling for women at higher risk
• Breast Feeding interventions to support and promote breast feeding;
• Cervical Cancer screening for sexually active women;
• Chlamydia Infection screening for younger women and other women at higher risk
• Folic Acid supplements for women who may become pregnant
• Gonorrhea screening for all women at higher risk
• Hepatitis B screening for pregnant women at their first prenatal visit
• 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
• Tobacco Use screening and interventions for all women, and expanded counseling for pregnant tobacco users
• Syphilis screening for all pregnant women or other women at increased risk

To obtain a paper copy of the document listed above, please call the Member Engagement Center at the number listed on your AvMed ID card. (TTY 711 or 1-800-955-8771). Hours of service: 8:00 a.m. – 8:00 p.m. Monday through Friday and Saturday from 9:00 a.m. to 1:00 p.m. You may also e-mail your request to members@avmed.org

References:

      1. Healthcare.gov Learning about Prevention

The following preventive services will be covered at 100% (i.e., no cost-sharing, no co-pays, no co-insurance) when obtained within participating network:

• Alcohol and Drug Use assessments for adolescents
• Autism screening for children age 18 and 24 months
• Behavioral assessments for children of all ages
• Cervical Dysplasia screening for sexually active females
• Congenital Hypothyroidism screening for newborns
• Developmental screening for children under age three (3), and surveillance throughout childhood
• Dyslipidemia screening for children at higher risk of lipid disorders
• Fluoride Chemoprevention supplements for children older than six (6) months 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
• Hematocrit or Hemoglobin screening for children
• Hemoglobinopathies or sickle cell screening for newborns
• HIV screening for adolescents at higher risk
• Immunization vaccines for children from birth to age 18 – (doses, recommended ages, and recommended populations as determined by the CDC):
  • 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 six (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
• Oral Health risk assessment for young children
• Phenylketonuria (PKU) screening for this genetic disorder in newborns
• Sexually Transmitted Infection (STI) prevention counseling for adolescents at higher risk
• Tuberculin testing for children at higher risk of tuberculosis
• Vision screening for all children

To obtain a paper copy of the document listed above, please call the Member Engagement Center at the number listed on your AvMed ID card. (TTY 711 or 1-800-955-8771).  Hours of service: 8:00 a.m.- 8:00 p.m. Monday though Friday and Saturday from 9:00 a.m. to 1:00 p.m. You may also e-mail your request to members@avmed.org

References:

1. Healthcare.gov Learning about Prevention.