Center for Health Policy

Preventive Services and the ACA

Did you know that under section 1001 of the Affordable Care Act, many insurers will be required to provide many types of preventive services without cost sharing? Any preventive service rated as A or B by the US Preventive Services Task Force will be provided without cost-sharing (e.g. out of pocket payment). This requirement is now in effect and applies to Medicare, new private insurance plans, and existing plans that have not been “grandfathered.” Persons covered under Medicaid expansion will also be covered under this requirement. However, persons under the existing Medicaid program may not and need to check with their state Medicaid office.

You can see a complete list of all preventive services covered without cost sharing here (list includes 51 services as of this writing).

Leave a Reply