Preventive care benefits for women

The APEX plan cover the following list of preventive services for women without charging a copayment or coinsurance. This is true even if you haven’t met your yearly deductible.

IMPORTANT: These services are free only when delivered by a doctor or other provider in your plan’s network.

Services for pregnant women or women who may become pregnant

  1. Anemia screening on a routine basis
  2. Breastfeeding comprehensive support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women
  3. Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, as prescribed by a health care provider for women with reproductive capacity (not including abortifacient drugs). This does not apply to health plans sponsored by certain exempt “religious employers.” Learn more about contraceptive coverage.
  4. Folic acid supplements for women who may become pregnant
  5. Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes
  6. Gonorrhea screening for all women at higher risk
  7. Hepatitis B screening for pregnant women at their first prenatal visit
  8. Preeclampsia prevention and screening for pregnant women with high blood pressure
  9. Rh incompatibility screening for all pregnant women and follow-up testing for women at higher risk
  10. Syphilis screening
  11. Expanded tobacco intervention and counseling for pregnant tobacco users
  12. Urinary tract or other infection screening

Other covered preventive services for women

  1. Breast cancer genetic test counseling (BRCA) for women at higher risk
  2. Breast cancer mammography screenings every 1 to 2 years for women over 40
  3. Breast cancer chemoprevention counseling for women at higher risk
  4. Cervical cancer screening
    • Pap test (also called a Pap smear) every 3 years for women 21 to 65
    • Human Papillomavirus (HPV) DNA test with the combination of a Pap smear every 5 years for women 30 to 65 who don’t want a Pap smear every 3 years
  5. Chlamydia infection screening for younger women and other women at higher risk
  6. Diabetes screening for women with a history of gestational diabetes who aren’t currently pregnant and who haven’t been diagnosed with type 2 diabetes before
  7. Domestic and interpersonal violence screening and counseling for all women
  8. Gonorrhea screening for all women at higher risk
  9. HIV screening and counseling for sexually active women
  10. Osteoporosis screening for women over age 60 depending on risk factors
  11. Rh incompatibility screening follow-up testing for women at higher risk
  12. Sexually transmitted infections counseling for sexually active women
  13. Syphilis screening for women at increased risk
  14. Tobacco use screening and interventions
  15. Urinary incontinence screening for women yearly
  16. Well-woman visits to get recommended services for women under 65