When delivered by an in-network provider
- Alcohol, tobacco, and drug use assessments for adolescents
- Autism screening at 18 and 24 months
- Behavioral assessments for ages:
- 0 to 11 months
- 1 to 4 years
- 5 to 10 years
- 11 to 14 years
- 15 to 17 years
- Bilirubin screening for newborns
- Blood pressure screenings by age group
- Blood screening for newborns
- Depression screening starting at age 12
- Developmental screening under age 3
- Dyslipidemia screening:
- Once between ages 9–11
- Once between ages 17–21
- More often if higher risk
- Fluoride supplements (if not in local water)
- Fluoride varnish when teeth are present
- Gonorrhea medication for newborns’ eyes
- Hearing screening:
- Newborns
- Ongoing, as recommended
- Height, weight, and BMI measurements
- Hematocrit or hemoglobin screening
- Hemoglobinopathies or sickle cell screening (newborns)
- Hepatitis B screening (at-risk adolescents)
- HIV screening (at-risk adolescents)
- Hypothyroidism screening (newborns)
- PrEP (HIV prevention) for high-risk adolescents
- Immunizations (birth to age 18):
- Chickenpox (Varicella)
- Diphtheria, tetanus, and pertussis (DTaP)
- Haemophilus influenza type b
- Hepatitis A & B
- HPV (Human Papillomavirus)
- Inactivated Poliovirus
- Influenza (flu shot)
- Measles, Mumps, Rubella (MMR)
- Meningococcal
- Pneumococcal
- Rotavirus
- Lead screening (at-risk children)
- Obesity screening and counseling
- Oral health risk assessment (ages 6 months to 6 years)
- Phenylketonuria (PKU) screening (newborns)
- STI prevention counseling & screening (at-risk adolescents)
- Tuberculosis screening (at-risk children by age group)
- Vision screening for all children
- Well-baby and well-child visits
Note: Always check your individual plan to ensure coverage.
