Spring 2019

Most health plans,* including those available through the Health Insurance Marketplace, must cover a set of preventive services at no extra cost to members. New services recently added or soon to be added include –

Effective October 1, 2018

  • Vision: Amblyopia screening for children ages 6 months to 5 years

Effective January 1, 2019

  • Preventive prescription drug changes
    • Fluoride supplements (drops, chewable tablets): For children with no fluoride in their water supply, fluoride supplements will be covered at $0 copay from age 6 months to 5 years
    • Folic acid 400mcg and 800mcg (OTC): Beginning at age 12, folic acid will be covered at a $0 copay
    • Colonoscopy preparations: Members within the age range of 50 to 75 years will have $0 copay for two prescriptions per year
  • One annual screening for urinary incontinence was added for all women
  • Diabetes (type 2) screening for women with a history of gestational diabetes: Expanding coverage from within one year after birth to include one screening annually for a minimum of 10 years after pregnancy

Effective April 1, 2019

  • Behavioral counseling to prevent skin cancer: Age range of coverage is now age 6 months to 24 years

*Excludes grandfathered individual plans underwritten by Unity Health Plans Insurance Corporation