Preventive Care

Most plans must over a set of preventive services – like shots and screenings – at no cost to you.

For example, depending on your age, you may have access to no-cost preventive services such as:

Why am I being charged a fee for preventive care?

Your health plan may charge a fee if:

  • Out-of-network providers: These services are free only when delivered by a doctor or other provider in your plan’s network. Your health plan may allow you to receive these services from an out-of-network provider but may charge you a fee.
  • Office visit fees: Be aware that your plan can require you to pay some costs of the office visit if the preventive service is not the primary purpose of the visit.
  • Grandfathered plans: If your plan is “grandfathered,” these benefits may not be available to you.


  • Talk to a health care provider to know which covered preventive services are right for you — based on your age, gender, and health status. 
  • Contact your insurance company if you have questions about your plan or fees.

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Content created by Assistant Secretary for Public Affairs (ASPA)
Content last reviewed