Preventive Health Screenings Available Under the ACA

As part of the Affordable Care Act (healthcare reform), a wide range of preventive health screenings and services are available at no out-of-pocket expense to Americans with insurance, or Medicare as long as the services are provided by in-network providers. Included are a wide range of services for adults and children, ranging from immunizations to autism screening.

A patient going through a blood pressure screening

Darrin Klimek / Digital Vision / Getty Images

(Please note that while these screenings may sound like they are free, they may not be. See note below.)

Here are partial lists of the kinds of services and tests that are available through this program.

Preventive Health Screenings for All Adults

  • Abdominal aortic aneurysm one-time screening for people assigned male at birth of specified ages who have ever smoked
  • Alcohol misuse screening and counseling
  • Aspirin use for adults of certain ages
  • Blood pressure screening for all adults
  • Cholesterol screening for adults of certain ages or at higher risk
  • Colorectal cancer screening for adults over 50
  • Depression screening for adults
  • Diet counseling for adults at higher risk of chronic disease
  • HIV screening for all adults at high risk
  • Immunizations recommended for age and population including hepatitis A, hepatitis B, herpes zoster, human papillomavirus, influenza, MMR (measles, mumps, and rubella), meningococcal, pneumococcal, TDAP (tetanus, diphtheria, and pertussis), and varicella.
  • Screening and treatment for excess weight
  • Type 2 Diabetes screening for adults with high blood pressure
  • Sexually transmitted infection (STI) prevention counseling for adults at higher risk
  • Tobacco use screening for all adults and cessation interventions for tobacco users

Preventive Health Screenings for People Assigned Female at Birth

  • Anemia screening on a routine basis for those who are pregnant
  • Bacteriuria urinary tract or other infection screening for those who are pregnant
  • BRCA counseling about genetic testing for those who are at higher risk
  • Breast cancer mammography screenings every 1 to 2 years for those over age 40
  • Breast cancer chemoprevention counseling for those at higher risk
  • Breastfeeding or chestfeeding comprehensive support and training
  • Cervical cancer screening for sexually active people assigned female at birth
  • Contraception (excluding those employed by "closely held" for-profit employers)
  • Domestic and interpersonal violence screening and counseling
  • Folic acid supplements for people assigned female at birth who may become pregnant
  • Hepatitis B screening at first prenatal visit
  • Human immunodeficiency virus (HIV) screening and counseling
  • Human papillomavirus (HPV) DNA testing for those 30 years and older
  • Osteoporosis screening for those over age 60 depending on risk factors
  • Screening for gestational diabetes (for those 24 to 28 weeks pregnant and those at high-risk
  • Rh incompatibility screening
  • Sexually-transmitted infection counseling
  • Tobacco use screening and interventions for all, and expanded counseling for pregnant tobacco users
  • Regular checkups
  • Rh incompatibility screening

Preventive Health Screenings for Children

  • Alcohol and Drug Use assessments for adolescents
  • Autism screening for children at 18 and 24 months
  • Behavioral assessments for children of all ages
  • Blood pressure screening for children
  • Cervical dysplasia screening for sexually active people assigned female at birth
  • Congenital hypothyroidism screening for newborns.
  • Depression screening for adolescents
  • Developmental screening for children under 3, and surveillance throughout childhood
  • Dyslipidemia screening for children at high risk
  • Fluoride chemoprevention supplements for children without fluoride in their water source
  • Gonorrhea preventive medication for the eyes of all newborns
  • Hearing screening for all newborns
  • Height, Weight, and Body Mass Index measurements for children
  • Hematocrit or hemoglobin screening for children
  • Hemoglobinopathies or sickle cess screening for newborns
  • HIV screening for adolescents at higher risk
  • Immunization vaccines for children from birth to age 18 including DPT (diphtheria, pertussis, and tetanus), haemophilus type A, hepatitis A and B, human papillomavirus, inactivated poliovirus, influenza (flu shot), MMR (measles, mumps, and rubella), meningococcal, pneumococcal, rotavirus, varicella)
  • Iron supplements for children ages 6-12 months at risk for anemia
  • Lead screening for children at risk of exposure
  • Medical History for all children throughout development
  • Obesity screening and counseling
  • Oral health risk assessment for young children
  • Phenylketonuria (PKU) screening for newborns
  • Sexually transmitted disease prevention counseling and screening for adolescents at high risk
  • Tuberculin testing for children at high risk for tuberculosis
  • Vision screening for all children

About Contraception Coverage

When this part of the Affordable Care Act first included birth control/contraception in the no-cost category, certain religion-based employers objected. After Congressional hearings, the ruling was modified. No longer will some religion-based employers be required to underwrite the cost of insurance to supply birth control methods.

Additional Notes About Payment

No out-of-pocket cost means no deductibles, co-pays, and co-insurance. It does not mean your premiums won't go up.

Also, remember that since you won't be spending anything out of your pocket, it won't affect your deductible.

There may be costs that result from these tests and screenings. You may see a healthcare provider and have one or more of these screenings performed, but any additional needs or services that result from these screenings will not also be "free." For example, you may go to your practitioner for a checkup which is covered by this list, but should a problem be detected and you are sent for another test, that test will not be covered by this program. It may be covered in some way by your payer but not through this program.

Finally, should you be billed for any of these services, and you know they were provided by an in-network provider (healthcare provider, nurse practitioner, approved testing center or another), then contact the provider's billing department and ask to have the charges removed.

4 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. National Conference of State Legislatures. Preventive services covered under the Affordable Care Act.

  2. National Conference of State Legislatures. State laws and actions challenging certain health reforms.

  3. Kaiser Family Foundation. New regulations broadening employer exemptions to contraceptive coverage: impact on women.

  4. Out-of-pocket costs.

By Trisha Torrey
 Trisha Torrey is a patient empowerment and advocacy consultant. She has written several books about patient advocacy and how to best navigate the healthcare system.