Healthcare Reform and Preventative Services: Just What the Doctor Ordered

By William Johnson

President and CEO of CIBC of Illinois, Inc.

Most of my time with clients these days is spent on analyzing the impact of Healthcare Reform on their business. The already offer benefits to their employees, and they are making sure that their benefit packages are compliant with the law. ImageThey have had three years of me whispering in their ear (or yelling, as the case may be) about the ins and outs of Healthcare Reform up to this point. Now, plan administrators with over 50 full-time equivalent employees (FTE’s) who do NOT offer affordable health insurance to ALL of their employees are starting to look into their exposure to the law. Even those companies with fewer than 50 FTE’s realize that employees who did not take the insurance at work before now have to look into buying insurance or face penalties themselves. Everybody has to “pay or play”, and we have never been more busy….and that’s just how we like it.

As I talk to prospects who either have a grandfathered plan (a pre-March 2010 plan that has not undergone any substantial changes), or businesses who do not have a group health plan, I have found that some do not know about the free preventative care aspect of the law. If they do, they may not know about all of the updates to the scope of free preventative services that has increased since 2010. Whichever way you fall politically on Healthcare Reform, this aspect has been almost universally accepted as a great thing for employers and employees. Here is a complete list of Covered Preventative services, and as always, give us a call if you need help with this or any other aspect of employee benefits, group health insurance, or Healthcare reform.

Preventive Services for Kids


  • Influenza (Flu Shot)
  • Autism screening for children at 18 and 24 months
  • Congenital Hypothyroidism screening for newborns
  • Depression screening for adolescents
  • Dyslipidemia screening for children at higher risk of lipid disorders
    Fluoride Chemoprevention supplements for children without fluoride in their water source
  • Alcohol and Drug Use assessments for adolescents
  • 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 cell screening for newborns
  • HIV screening for adolescents at higher risk
  • 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
  • Behavioral assessments for children of all ages
    Blood Pressure screening for children
    Cervical Dysplasia screening for sexually active females
  • Human Papillomavirus
  • Inactivated Poliovirus
  • Measles, Mumps, Rubella
  • Meningococcal
  • Pneumococcal
  • Rotavirus
  • Varicella
  • Iron supplements for children ages 6 to 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 this genetic disorder in newborns
  • Developmental screening for children under age 3, and surveillance throughout childhood
  • Sexually Transmitted Infection (STI) prevention counseling and screening for adolescents at higher risk
  • Tuberculin testing for children at higher risk of tuberculosis



Preventive Services for Women

  • Well-woman visits to obtain recommended preventive services
  • Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk
  • Breast Cancer Mammography screenings every 1 to 2 years for women over 40
  • Anemia screening on a routine basis for pregnant women
  • Bacteriuria urinary tract or other infection screening for pregnant women
  • Tobacco Use screening and interventions for all women, and expanded counseling for pregnant tobacco users
  • BRCA counseling about genetic testing for women at higher risk
  • Breast Cancer Chemoprevention counseling for women at higher risk
  • Breastfeeding comprehensive support and counseling from trained providers, as well as access to breastfeeding supplies, for pregnant and nursing women
  • Cervical Cancer screening for sexually active women
  • Gonorrhea screening for all women at higher risk
  • Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, not including abortifacient drugs
  • Domestic and interpersonal violence screening and counseling for all women
  • Folic Acid supplements for women who may become pregnant
  • Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes
  • Hepatitis B screening for pregnant women at their first prenatal visit
  • Human Immunodeficiency Virus (HIV) screening and counseling for sexually active women*
  • Human Papillomavirus (HPV) DNA Test: high risk HPV DNA testing every three years for women with normal cytology results who are 30 or older
  • Osteoporosis screening for women over age 60 depending on risk factors
  • Chlamydia Infection screening for younger women and other women at higher risk
  • Sexually Transmitted Infections (STI) counseling for sexually active women
  • Syphilis screening for all pregnant women or other women at increased risk

Preventive Services for Adults

  • Tobacco Use screening for all adults and cessation interventions for tobacco users
  • Abdominal Aortic Aneurysm (one-time screening for men of specified ages who have ever smoked)
  • Alcohol Misuse screening and counseling
  • Aspirin use for men and women
  • Blood Pressure screening
  • Cholesterol screening
  • Colorectal Cancer screening for adults over 50
  • Depression screening
  • Type 2 Diabetes screening for adults with high blood pressure
  • Diet counseling for adults at higher risk for chronic disease
  • HIV screening for all adults at higher risk
  • Immunization vaccines for adults–doses, recommended ages, and recommended populations vary:
    • Hepatitis A
    • Hepatitis B
    • Herpes Zoster
    • Human Papillomavirus
    • Influenza (Flu Shot)
    • Measles, Mumps, Rubella
    • Meningococcal
    • Pneumococcal
    • Tetanus, Diphtheria, Pertussis
    • Varicella
  • Obesity screening and counseling
  • Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk
  • Syphilis screening for all adults at higher risk

This article is intended for informational purposes only and should not be construed as legal advice. Please consult with a legal professional for legal opinions.

 To get more information on CIBC of Illinois, visit us at www.CIBCINC.Com or call toll free 877-936-3580.


About CIBCsolutions

CIBC is a leader in the development and implementation of innovative employee benefits plans. Headquartered an hour south of Chicago in Kankakee, CIBC has branch offices throughout Illinois serving private sector clients, non-profit organizations, governmental agencies and Taft-Hartley health and welfare funds across the Midwest. Over the past two decades, we have creatively addressed the employee benefits needs of hundreds of organizations — some with as few as two employees and others with as many as 25,000 employees around the globe. A relationship with CIBC gives you access to a team of employee benefits experts who are among the most knowledgeable consultants, analysts and account managers in the industry. With more than 75 years of experience, our team commands the respect of insurers and health care providers nationwide.

Posted on January 30, 2013, in Flexible Spending Accounts, Health Care Reform, Uncategorized, Wellness and tagged , , , , , , , , , , , , , , , , . Bookmark the permalink. 1 Comment.

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