Aetna Inc.
2015 Aetna PPO (Choice POSII) Webinar Presentation
Covered Preventive Services for Adults
Screenings for:
• Abdominal aortic aneurysm (one-time screening for men of
specified ages who have ever smoked)
• Alcohol misuse
• Blood pressure
• Cholesterol (for adults of certain ages or at higher risk)
• Colorectal cancer (for adults over age 50)
• Depression
• Type 2 diabetes (for adults with high blood pressure)
• Human immunodeficiency virus (HIV)
• Obesity
• Tobacco use
• Lung cancer (for adults age 55 and over with history
of smoking), effective January 1, 2015
• Syphilis (for all adults at higher risk)
Counseling for:
• Alcohol misuse
• Diet (for adults with hyperlipidemia and other known risk
factors for cardiovascular and diet-related chronic disease)
• Obesity
• Sexually transmitted infection (STI) prevention (for adults at
higher risk)
• Tobacco use (including programs to help you stop
using tobacco)
1
Immunizations:
Doses, recommended ages and recommended populations vary
• Diphtheria, pertussis, tetanus (DPT)
• Hepatitis A and B
• Herpes zoster
• Human papillomavirus (HPV)
• Influenza
• Measles, mumps, rubella (MMR)
• Meningococcal (meningitis)
• Pneumococcal (pneumonia)
• Varicella (chickenpox)
Please note: Coverage includes regular checkups, and routine
gynecological and well-child exams. Aetna follows the
recommendations of national medical societies about how
often children, men and women need these services. Be sure
to talk with your doctor about which services are right for your
age, gender and health status.
Aetna Inc.
2015 Aetna PPO (Choice POSII) Webinar Presentation
2
Covered Preventive Services for Women
Screenings and counseling for:
• BRCA (counseling and genetic testing for women of high
risk
with no personal history of breast and/or ovarian cancer)
• Breast cancer chemoprevention (for women at higher
risk)
• Breast cancer (mammography every 1 to 2 years for
women
over 40)
• Cervical cancer (for sexually active women)
• Chlamydia infection (for younger women and other
women
at higher risk)
• Gonorrhea (for all women at higher risk)
• Interpersonal or domestic violence
• Osteoporosis (for women over age 60 depending on
risk factors)
Contraceptive products and services:
• Prescribed FDA-approved female over-the-counter or
generic contraceptives
2
when filled at an in-network
pharmacy
• Two visits a year for patient education and counseling on
contraceptives is also covered under your Aetna medical
plan
Covered preventive services for pregnant women
• Routine prenatal visits (you pay your normal cost
share for delivery, postpartum care, ultrasounds or
other maternity procedures, specialist visits and
certain lab tests)
• Anemia screenings
• Diabetes screenings
• Bacteriuria urinary tract or other infection
screenings
• Rh incompatibility screening, with follow-up
testing for
women at higher risk
• Hepatitis B counseling (at the first prenatal visit)
• Expanded counseling on tobacco use
• Breastfeeding interventions to support and
promote
breastfeeding after delivery, including up to six visits
with a lactation consultant
Aetna Inc.
2015 Aetna PPO (Choice POSII) Webinar Presentation
Covered Preventive Services for Children
Screenings and assessments for:
• Alcohol and drug use (for adolescents)
• Autism (for children at 18 and 24 months)
• Behavioral issues
• Cervical dysplasia (for sexually active females)
• Congenital hypothyroidism (for newborns)
• Developmental screening (for children under age 3,
and surveillance throughout childhood)
• Hearing (for all newborns)
• Height, weight and body mass index measurements
• Lipid disorders (dyslipidemia screening for children at
higher risk)
• Hematocrit or hemoglobin
• Hemoglobinopathies or sickle cell (for newborns)
• HIV (for adolescents at higher risk)
• Lead (for children at risk of exposure)
• Medical history
• Obesity
• Oral health (risk assessment for young children)
• Phenylketonuria (PKU) (for newborns)
• Tuberculin testing (for children at higher risk of tuberculosis)
• Vision
3
Counseling for:
• Obesity
• Sexually transmitted infection (STI) prevention
(for adolescents at higher risk)
Immunizations:
From birth to age 18 — doses, recommended ages and
recommended populations vary
• Diphtheria, pertussis, tetanus (DPT)
• Haemophilus influenzae type b
• Hepatitis A and B
• Human papillomavirus
• Inactivated poliovirus
• Influenza
• Measles, mumps, rubella (MMR)
• Meningococcal (meningitis)
• Pneumococcal (pneumonia)
• Rotavirus
• Varicella (chickenpox)
Please note: Coverage includes regular checkups, and
routine gynecological and well-child exams. Aetna follows
the recommendations of national medical societies about
how often children, men and women need these services.
Be sure to talk with your doctor about which services are
right for your age, gender and health status.
