Preventive Health Services for Children

By Ulla-Undine Merritt (Dee) National Producer Number (NPN) 8853366

Preventive Health Services for Children*Most health plans must cover a set of preventive health services for children at no cost when delivered by an in-network provider. This includes Marketplace and Medicaid coverage.

Coverage for children’s preventive health services
All Marketplace health plans and many other plans must cover the following list of preventive services for children without charging you a copayment or coinsurance. This is true even if you haven’t met your yearly deductible.
1. Alcohol and Drug Use assessments for adolescents

2. Autism screening for children at 18 and 24 months

3. Behavioral assessments for children at the following ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.

4. Blood Pressure screening for children at the following ages: 0 to 11 months, 1 to 4 years , 5 to 10 years, 11 to 14 years, 15 to 17 years.

5. Cervical Dysplasia screening for sexually active females

6. Depression screening for adolescents

7. Developmental screening for children under age 3

8. Dyslipidemia screening for children at higher risk of lipid disorders at the following ages: 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.

9. Fluoride Chemoprevention supplements for children without fluoride in their water source

10. Gonorrhea preventive medication for the eyes of all newborns

11. Hearing screening for all newborns

12. Height, Weight and Body Mass Index measurements for children at the following ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.

13. Hematocrit or Hemoglobin screening for children

14. Hemoglobinopathies or sickle cell screening for newborns

15. HIV screening for adolescents at higher risk

16. Hypothyroidism screening for newborns

17. Immunization vaccines for children from birth to age 18 —doses, recommended ages, and recommended populations vary:
– Diphtheria, Tetanus, Pertussis
– Haemophilus influenzae type b
– Hepatitis A
– Hepatitis B
– Human Papillomavirus
– Inactivated Poliovirus
– Influenza (Flu Shot)
– Measles
– Meningococcal
– Pneumococcal
– Rotavirus
– Varicella

18. Iron supplements for children ages 6 to 12 months at risk for anemia

19. Lead screening for children at risk of exposure

20. Medical History for all children throughout development at the following ages: 0 to 11 months, 1 to 4 years , 5 to 10 years , 11 to 14 years , 15 to 17 years.

21. Obesity screening and counseling

22. Oral Health risk assessment for young children Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years.

23. Phenylketonuria (PKU) screening for this genetic disorder in newborns

24. Sexually Transmitted Infection (STI) prevention counseling and screening for adolescents at higher risk

25. Tuberculin testing for children at higher risk of tuberculosis at the following ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.

26. Vision screening for all children.*

*www.Healthcare.gov

Also remember when moving, getting married or divorced, adding to your family you have a special enrollment period to apply or change your health insurance coverage. Also check your wills, trusts, and make sure they follow Florida’s laws and guidelines. Establish yourself with a local attorney, CPA, Financial Planner / Insurance Agent.  An annual review is very important. Too many times people assume.  Don’t assume.  Ask a professional, most of the time your first consultation is at no charge.

To learn more schedule an appointment contact:
Logical Insurance Solutions
Dee Merritt
239-362-0855
www.Logicalinsurance.com
Dee@Logicalinsurance.com

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