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Which preventive health services are covered for children?

Most health plans must cover a set of preventive health services for children at no cost. This includes qualified health plans through Maryland Health Connection, as well as coverage through Medicaid or the Maryland Children’s Health Program (MCHP).

Plans through Maryland Health Connection must cover the following preventive services for children without charging a copayment or coinsurance. This is true even if you haven’t met your yearly deductible.

These services are free only when delivered by a doctor or other provider in your plan’s network.

  1. Alcohol and drug use assessments for adolescents
  2. Autism screening for children at 18 and 24 months
  3. Behavioral assessments for children ages: 0 to 11 months1 to 4 years5 to 10 years11 to 14 years15 to 17 years
  4. Blood pressure screening for children ages: 0 to 11 months1 to 4 years , 5 to 10 years11 to 14 years15 to 17 years
  5. Cervical dysplasia screening for sexually active females
  6. Depression screening for adolescents
  7. Developmental screening for children under age 3
  8. Dyslipidemia screening for children at higher risk of lipid disorders ages: 1 to 4 years5 to 10 years,11 to 14 years15 to 17 years
  9. Fluoride chemoprevention supplements for children without fluoride in their water source
  10. Gonorrhea preventive medication for the eyes of all newborns
  11. Hearing screening for all newborns
  12. Height, weight and body mass index (BMI) measurements for children ages: 0 to 11 months1 to 4 years5 to 10 years11 to 14 years15 to 17 years
  13. Hematocrit or hemoglobin screening for all children
  14. Hemoglobinopathies or sickle cell screening for newborns
  15. Hepatitis B screening for adolescents at high risk, including adolescents from countries with 2% or more Hepatitis B prevalence, and U.S.-born adolescents not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence: 11 – 17 years.
  16. HIV screening for adolescents at higher risk
  17. Hypothyroidism screening for newborns
  18. Immunization vaccines for children from birth to age 18 — doses, recommended ages, and recommended populations vary:
  19. Iron supplementsfor children ages 6 to 12 months at risk for anemia
  20. Lead screening for children at risk of exposure
  21. Medical history for all children throughout development ages: 0 to 11 months1 to 4 years , 5 to 10 years , 11 to 14 years , 15 to 17 years
  22. Obesity screening and counseling
  23. Oral health risk assessment for young children ages: 0 to 11 months1 to 4 years5 to 10 years
  24. Phenylketonuria (PKU) screening for newborns
  25. Sexually transmitted infection (STI) prevention counseling and screening for adolescents at higher risk
  26. Tuberculin testing for children at higher risk of tuberculosis ages: 0 to 11 months1 to 4 years5 to 10 years11 to 14 years15 to 17 years
  27. Vision screening for all children