Use Your Coverage

All health plans offered through Maryland Health Connection provide the same core benefits including:

- Doctor visits
- Hospitalization
- Emergency care
- Maternity and newborn care
- Pediatric care, including dental and vision benefits
- Prescription drugs
- Laboratory tests
- Mental health care
- Substance use disorder treatment

Some plans offer more. Visit your insurance company’s website or review any information you receive in the mail for what your plan covers.

Preventive services are free

All plans through Maryland Health Connection cover preventive services. Schedule a regular checkup with your doctor. It’s covered by your plan at no cost, even if you haven’t met your yearly deductible.These services are free only when delivered by a doctor in your plan’s network.

Free preventive services for adults

- Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked
- Alcohol misuse screening and counseling
- Aspirin use to prevent cardiovascular disease for men and women of certain ages
- Blood pressure screening for all adults
- Cholesterol screening for adults of certain ages or at higher risk
- Colorectal cancer screening for adults over 45
- Depression screening for adults
- Diabetes Type 2 screening for adults over 40 with high blood pressure
- Diet counseling for adults at risk for chronic disease
- Falls prevention (with exercise or physical therapy and vitamin D use) for adults 65 years and over, living in a community setting
- Hepatitis B screening for people at high risk, including people from countries with 2% or more Hepatitis B prevalence, and U.S.-born people not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence.
- Hepatitis C screening for adults over 18
- HIV screening for ages 15 to 65, and other ages at increased risk
- PrEP (pre-exposure prophylaxis) HIV prevention medication for HIV-negative adults at high risk for getting HIV through sex or injection drug use
- Immunization vaccines for adults – doses, recommended ages, and recommended populations vary:
- Hepatitis A
- Hepatitis B
- Herpes Zoster
- Human Papillomavirus (HPV)
- Influenza (flu shot)
- Measles, Mumps, Rubella
- Meningococcal
- Pneumococcal
- Tetanus, Diphtheria, Pertussis
- Varicella (Chickenpox, Shingles)
- Lung cancer screening for adults over 50 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years
- Obesity screening and counseling for adults
- Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk
- Statin preventive medication for adults over 40 at high risk
- Syphilis screening for adults at higher risk
- Tobacco use screening and cessation interventions
- Tuberculosis screening for certain adults without symptoms at high risk

Free preventive services for women

Bone density screening for all women over age 65 or women age 64 and younger that have gone through menopause
Breast cancer genetic test counseling (BRCA) for women at higher risk
Breast cancer mammography screenings every 1 to 2 years for women over 40 (including supplemental breast examinations for those with increased risk of developing breast cancer)
Breast cancer chemoprevention counseling for women at higher risk
Cervical cancer screening for women age 21 and older
Chlamydia infection screening for younger women and other women at higher risk
Diabetes screening for women with a history of gestational diabetes who aren’t currently pregnant and who haven’t been diagnosed with type 2 diabetes before
Domestic and interpersonal violence screening and counseling for women
Gonorrhea screening for women at higher risk
HIV screening and counseling for sexually active women
Human Papillomavirus (HPV) DNA test every 3 years for women with normal cytology results 30 or older
Osteoporosis screening for women over age 60 with risk factors
Rh incompatibility screening follow-up testing for women at higher risk
Sexually transmitted infections counseling for sexually active women
Syphilis screening for women at increased risk
Urinary incontinence screening for women yearly
Wellness visits for recommended services for women under 65

Free preventive services for pregnant women or women who may become pregnant

Anemia screening on a routine basis
Breastfeeding comprehensive support and counseling from trained providers and access to breastfeeding supplies for pregnant and nursing women
Contraception – Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, as prescribed by a health care provider, for women with reproductive capacity (not including antibortifacient drugs, which induce abortions) This does not apply to health plans sponsored by certain exempt “religious employers.” Learn more about contraceptive coverage.
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
Gonorrhea screening for all women at higher risk
Hepatitis B screening for pregnant women at their first prenatal visit
Maternal depression screening for mothers at well-baby visits
Preeclampsia prevention and screening for pregnant women with high blood pressure
Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk
Syphilis screening
Expanded tobacco intervention and counseling for pregnant tobacco users
Urinary tract or other infection screening

Free preventive services for children

- Alcohol and drug use assessments for adolescents
- Autism screening for children at 18 and 24 months
- Behavioral assessments for children ages 0-11 months, 0-11 months, 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Bilirubin concentration screening for newborns
- Blood pressure screening for children ages 0-11 months, 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Blood screening for newborns
- Cervical dysplasia screening for sexually active females
- Depression screening for adolescents
- Developmental screening for children under age 3
- Dyslipidemia screening for children at higher risk of lipid disorders ages 0-11 months, 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Fluoride chemoprevention supplements for children without fluoride in their water source
- Fluoride varnish for all infants and children as soon as teeth are present
- Gonorrhea preventive medication for the eyes of newborns
- Hearing screening for newborns and regular screenings for children and adolescents as recommended by their provider
- Height, weight and body mass index (BMI) measurements for children ages 0-11 months, 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Hematocrit or hemoglobin screening for all children
- Hemoglobinopathies or sickle cell screening for newborns
- 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
- HIV screening for adolescents at higher risk
- Hypothyroidism screening for newborns
- Immunization vaccines for children from birth to 18 years — doses, recommended ages, and recommended populations vary:
- Diphtheria, Tetanus, Pertussis (whooping cough)
- Haemophilus Influenzae type b
- Hepatitis A
- Hepatitis B
- Human Papillomavirus
- Inactivated Poliovirus
- Influenza (flu shot)
- Measles
- Mumps
- Meningococcal
- Pneumococcal
- Rotavirus
- Rubella
- Varicella (Chickenpox)
- Iron supplements for children ages 6-12 months at risk for anemia
- Lead screening for children at risk of exposure
- Medical history for all children throughout development, ages 0-11 months, 1-4 years , 5-10 years, 11-14 years, 15-17 years
- Obesity screening and counseling
- Oral health risk assessment for young children ages 0-11 months, 1-4 years, 5-10 years
- Phenylketonuria (PKU) screening for newborns
- PrEP (pre-exposure prophylaxis) HIV prevention medication for HIV-negative adolescents at high risk for getting HIV through sex or injection drug use
- Sexually transmitted infection (STI) prevention counseling and screening for adolescents at higher risk
- Tuberculin testing for children at higher risk of tuberculosis ages: 0-11 months, 1-4 years, 5-10 years, 11-14 years, 15-17 years
- Vision screening for all children
- Well-baby and well-child visits

Telehealth Coverage

Aetna

Costs varied based on your plan. Telehealth is available for:

Primary Care
Specialist Care
Behavioral Health
On-demand care for minor illnesses and injuries

For questions or more information, please visit https://www.cvs.com/virtual-care/

CareFirst

Costs varied based on your plan. Telehealth is available for:

Primary Care/ObGyn
Urgent Care
Behavioral Health
Medical Specialists (may be available for some telemedicine providers)

For questions or more information, please visit https://www.carefirst.com/virtualcare/

Kaiser Permanente

Telehealth is covered at no cost for:

Primary Care/ObGyn
Urgent Care
Behavioral Health
Medical Specialists

For questions or more information, please visit https://healthy.kaiserpermanente.org/maryland-virginia-washington-dc/learn/understanding-telehealth

UnitedHealthcare

Costs varied based on your plan. Telehealth is available for:

Primary Care/ObGyn
Urgent Care
Behavioral Health
Medical Specialists

For questions or more information, please visit https://www.uhc.com/member-resources/health-care-tools/telehealth-virtual-care

Use Your Coverage

Use Your Coverage

Use Your Coverage

Use Your Coverage

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