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:
- Blood pressure, diabetes, and cholesterol tests
- Many cancer screenings, including mammograms and colonoscopies
- Counseling on such topics as quitting smoking, losing weight, eating healthfully, treating depression, and reducing alcohol use
- Regular well-baby and well-child visits
- Routine vaccinations against diseases such as measles, polio, or meningitis
- Counseling, screening, and vaccines to ensure healthy pregnancies
- Flu shots and other vaccines
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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