Preventive care can help people stay up to date on recommended screenings, vaccines, and other services. Many Marketplace plans must cover specified preventive services without cost-sharing when applicable requirements are met.

Examples of preventive services

Depending on age, sex, health history, and applicable recommendations, covered preventive services may include certain screenings, immunizations, and counseling.

When is preventive care no-cost?

The service generally must meet the applicable preventive-care criteria and be delivered in a covered setting by an appropriate in-network provider. If a visit includes diagnostic evaluation or additional services, charges may apply.

Ask before your appointment

When scheduling care, ask whether the service will be billed as preventive or diagnostic and whether the provider is in network. Confirm details with your insurer if you are unsure.

Keep your care up to date

Use your clinician’s advice to understand which screenings and preventive services are appropriate for you. Insurance coverage is not a substitute for individualized medical advice.

Important: This article is educational, not medical advice. Covered services and requirements can change. Verify current information through HealthCare.gov and your plan documents.