State of Iowa Health Insurance

Are You and Your Family Members Up-To-Date on Preventive Services?

June 2020 

A key provision of the Affordable Care Act (ACA) is the requirement that recommended preventive services are covered without any patient cost-sharing. This means you do not have a deductible, copay, or coinsurance.

On the DAS Health Insurance webpage, The ACA preventive services list has been updated. There are three sets of preventive services.

  • For all adults
  • For women
  • For children

Age, gender, and risk factors may apply for some of the services. The services identified on this list are recommendations by the ACA to health care providers, not mandated services. Your health care provider is best able to determine which services to provide.

Important details to remember.

  • Only preventive services received from a Wellmark network provider will be covered at 100 percent with no member cost share.
  • If your health care provider's office bills a visit separately from your preventive services, you might have a copay or coinsurance. 
  • You may have to pay if the primary reason for your appointment is something other than preventive care.
  • You will have to pay out-of-pocket for treatments and follow-up appointments with your doctor if those screenings reveal a problem.