{"id":12043,"date":"2025-06-23T20:37:57","date_gmt":"2025-06-23T20:37:57","guid":{"rendered":"https:\/\/www.freeway.com\/knowledge-center\/?p=12043"},"modified":"2025-06-20T20:38:35","modified_gmt":"2025-06-20T20:38:35","slug":"why-preventive-care-covered-ca","status":"publish","type":"post","link":"https:\/\/www.freeway.com\/knowledge-center\/health-insurance\/why-preventive-care-covered-ca\/","title":{"rendered":"Why Preventive Care Is Covered Under All Covered California Plans"},"content":{"rendered":"\n

Did you know one in five Californians qualifies for free or very low cost health insurance? A health insurance plan helps you take advantage of preventive care options that can lower the risk of certain diseases and\/or catch others before they become too serious. <\/p>\n\n\n\n

Getting preventive care is an important step in staying healthy and avoiding costly healthcare expenses down the line. That\u2019s why you can get preventive care through Covered CA, regardless of which plan you choose. If you\u2019re concerned about whether or not your health insurance policy<\/a> covers the routine healthcare you need as a California resident, read on to learn all about preventive care and Covered CA plans. <\/p>\n\n\n\n

Understanding Preventive Care in Health Insurance<\/strong> <\/h2>\n\n\n\n

When reading about what your health insurance covers, you\u2019ll probably encounter different categories of support and treatment. For example, plans will have different coverage for prescriptions, physical therapy, emergency and urgent care<\/a>, and so on. \u201cPreventive and wellness services\u201d is an important category you should understand when signing up for your next policy. <\/p>\n\n\n\n

What Is Preventive Care?<\/strong> <\/h3>\n\n\n\n

As the name implies, it refers to services and treatments that can help prevent future diseases. It usually includes things like screenings, vaccines, and check-ups for certain health conditions. <\/p>\n\n\n\n

In the insurance world, preventive healthcare is one of the most common categories of coverage. Many insurers offer several screening services for very cheap or even for free if you go to an in-network doctor. Common examples include blood pressure screening, yearly well-woman exams, and alcohol abuse counseling. <\/p>\n\n\n\n

Importance of Preventive Services for Long-Term Health<\/strong> <\/h3>\n\n\n\n

Getting regular healthcare is one of the best things you can do for your health and well-being, even if you aren\u2019t sick. Doing things to prevent getting sick, such as getting vaccines, can help you reduce future healthcare costs and avoid serious illnesses. In addition, getting regular screenings could help you catch certain issues early, helping you get treatment while it still has the greatest chance of being effective. <\/p>\n\n\n\n

The Affordable Care Act and Preventive Care Coverage<\/strong> <\/h2>\n\n\n\n

The exact coverage you get for screening, testing, and counseling to prevent future issues depends on the type of insurance plan<\/a> you have. However, thanks to the Affordable Care Act, all marketplace plans need to provide certain essential health benefits, including preventive services. <\/p>\n\n\n\n

How the ACA Mandates No-Cost Preventive Services in California<\/strong> <\/h3>\n\n\n\n

Preventive care is one of the 10 essential health benefits required by the ACA. While coverage can vary for some of the categories, the ACA actually has a list of proactive services that all marketplace plans need to offer at zero cost to you. Even if you have a high copay or deductible, you\u2019ll still be able to get those certain services at no cost to you. <\/p>\n\n\n\n

Impact on California Health Plans<\/strong> <\/h3>\n\n\n\n

Covered California, California\u2019s ACA marketplace, is included in this mandate. So, does Covered California cover annual check-ups and screenings because of ACA? If you sign up for healthcare in California through the marketplace, you\u2019ll be able to get free preventive services in CA, which include many different screenings and examinations.\u00a0<\/p>\n\n\n

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Preventive Services Covered by Covered California Plans<\/strong> <\/h2>\n\n\n\n

Wondering exactly which services you can get for free thanks to the preventive care from Covered CA? You can check your summary of benefits for your specific plan for more details, but there\u2019s also a list of services that all ACA insurers must provide for free. <\/p>\n\n\n\n

Covered Services for Adults<\/strong> <\/h2>\n\n\n\n

First, there are services for the general population. In some cases, you have to be at high risk of a certain disease to qualify for screening. In other cases, any adult can get free treatment. Here\u2019s the official list from the ACA<\/a> for free preventive services from California health plans: <\/p>\n\n\n\n