Preventative Screening Coverage

Please note that the preventive services below are not recommended for all individuals , and medical necessity criteria may be applied.

Child Preventive Care (Birth to 18 years)

Preventive physical exams

Screening tests , assessments, and counseling including:

  • Newborn screenings
  • Vision screening
  • Hearing screening
  • Developmental and behavioral assessments
  • Oral health assessment
  • Screening for lead exposure
  • Hemoglobin or Hematocrit (blood count)
  • Blood pressure
  • Height, Weight, Body Mass Index (BMI)
  • Cholesterol and lipid level screening
  • Screening for depression
  • Screening and counseling for obesity
  • Behavioral counseling to promote a healthy diet
  • Screening for s exually transmitted infections
  • Pelvic exam and Pap test, including screening for cervical cancer

Immunizations including:

  • Hepatitis A
  • Hepatitis B
  • Diphtheria, tetanus, pertussis
  • Varicella (chicken pox)
  • Influenza (flu)
  • Pneumococcal (pneumonia)
  • Human papilloma virus (HPV)
  • Haemophilus Influenza type b (Hib)
  • Polio
  • Measles, Mumps, Rubella (MMR)
  • Meningococcal (meningitis)
  • Rotavirus

Adult Preventive Care (19 years and Older )

Preventive physical exams

Screening tests including:

  • Eye chart vision screening
  • Hearing screening
  • Cholesterol and lipid level screening
  • Blood pressure
  • Height, Weight, Body Mass Index (BMI)
  • Diabetes screening
  • Prostate cancer screening , including digital rectal exam and PSA test
  • Breast cancer screening, including exam and mammography
  • Pelvic ex am and Pap test , including screening for cervical cancer
  • Screening for sexually transmitted infections
  • HIV screening
  • Bone density test to screen for osteoporosis
  • Colorectal cancer screening including fecal occult blood test, barium enema, flexible sigmoi doscopy , screening colonoscopy , and CT colonography (as appropriate)
  • Aortic a neurysm screening (men)
  • Screenings during pregnancy including , but not limited to :
    • Hepatitis
    • Asymptomatic bacteriuria
    • Rh incompatibility
    • Syphilis
    • Iron deficiency anemia
    • Gonorrhea
    • Chlamydia
    • HIV

Screening and intervention services (including counseling and education) for:

  • Screening and counseling for obesity
  • Genetic counseling for women with a family history of breast and/or ovarian cancer
  • Behavioral counseling to promote a healthy diet
  • Primary care intervention to promote breastfeeding
  • Counseling related to aspirin use for the prevention of cardiovascular disease
  • Screening and behavioral counseling related to tobacco use and tobacco - caused disease
  • Screening and behavioral counseling related to alcohol misuse

Immunizations Including:

  • Hepatitis A
  • Hepatitis B
  • Diphtheria, tetanus, pertussis
  • Varicella (chicken pox)
  • Influenza (flu)
  • Pneumococcal (pneumonia)
  • Human Papilloma Virus (HPV)
  • Measles, Mumps, Rubella (MMR)
  • Meningococcal (mening itis)
  • Zoster (shingles)

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 Anthem Blue Cross and Blue Shield is the trade name of: In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non - HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self - funded plans and do not underwrite benefits. In Ohio: Community Insurance Company. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield As sociation. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are the registered marks of the Blue Cross and Blue Shield Association.