Real answers for your healthcare questions
Does health insurance cover preventive care?
Answer
Many health plans, including most ACA compliant plans, cover specified preventive services without cost sharing when you use an eligible in network provider and meet the applicable guidelines. These services can include certain screenings, vaccines, and preventive visits.
What to Know
Preventive does not mean every service during a checkup is automatically free. If you discuss a new medical problem, receive diagnostic testing, or use services outside the preventive guidelines, part of the visit may be billed differently.
What to Do Next
Before a preventive visit, check your plan's preventive benefits and use an in network provider. If a test is recommended, ask whether it is being ordered as preventive screening or as diagnostic care because coverage can differ.
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