Preventive healthcare deals with the prevention of illness to decrease the burden of disease and associated risk factors.
Preventive measures can be applied at all stages across the lifespan and along a disease spectrum, to prevent further decline over time.
Staying healthy and living a long life starts with preventive healthcare. Preventive healthcare can help you avoid illness and detect problems before you notice any symptoms – helping you stay healthy.
The Preventive Care Guidelines include national recommendations from the U.S. Preventive Services Taskforce (USPSTF).
USPSTF recommendations with an A rating (high certainty the benefit to you is substantial) or a B rating (high certainty the benefit to you is moderate) are preventive services covered by the Affordable Care Act (ACA).
Under the ACA, new health plans beginning September 23, 2010, are required to cover these preventive services with a USPSTF A or B recommendation at 100 percent (when you use an in-network provider), without a copayment, coinsurance or meeting a deductible.
If you use an out-of-network provider, your usual deductible and expenses may apply.
Leading causes of preventable death
(From Wikipedia, the free encyclopedia)
The leading cause of death in the United States was tobacco. However, poor diet and lack of exercise may soon surpass tobacco as a leading cause of death. These behaviors are modifiable and public health and prevention efforts could make a difference to reduce these deaths.
|Cause||Deaths caused||% of all deaths|
|Poor diet and physical inactivity||400,000||16.6|
|Sexually transmitted infections||20,000||0.8|
The leading causes of preventable death worldwide share similar trends to the United States. There are a few differences between the two, such as malnutrition, pollution, and unsafe sanitation, that reflect health disparities between the developing and developed world.
|Cause||Deaths caused (millions per year)|
|Sexually transmitted infections||3.0|
|Overweight and obesity||2.5|
|Indoor air pollution from solid fuels||1.8|
|Unsafe water and poor sanitation||1.6|
You and your family may be eligible for some important preventive services at no additional cost to you.
If your plan is subject to the new requirements, you may not have to pay a copayment, co-insurance, or deductible to receive recommended preventive health services, such as screenings, vaccinations, and counseling.
For example, depending on your age, you may have access — at no cost — to preventive services such as:
- Blood pressure, diabetes, and cholesterol tests
- Many cancer screenings, including mammograms and colonoscopies
- Counseling on such topics as quitting smoking, losing weight, eating healthfully, treating depression, and reducing alcohol use
- Regular well-baby and well-child visits, from birth to age 21
- Routine vaccinations against diseases such as measles, polio, or meningitis
- Counseling, screening, and vaccines to ensure healthy pregnancies
- Flu and pneumonia shots – Visit Vaccines.gov to learn more
Some Important Details
This preventive services provision applies only to people enrolled in job-related health plans or individual health insurance policies created after March 23, 2010. If you are in such a health plan, this provision will affect you as soon as your plan begins its first new “plan year” or “policy year” on or after September 23, 2010.
Top things to know about preventive care and services:
- Grandfathered plans: If your plan is “grandfathered,” these benefits may not be available to you.
- Network providers: If your health plan uses a network of providers, be aware that health plans are required to provide these preventive services only through an in-network provider. Your health plan may allow you to receive these services from an out-of-network provider, but may charge you a fee.
- Office visit fees: Your doctor may provide a preventive service, such as a cholesterol screening test, as part of an office visit. Be aware that your plan can require you to pay some costs of the office visit, if the preventive service is not the primary purpose of the visit, or if your doctor bills you for the preventive services separately from the office visit.
- Questions: If you have questions about whether these new provisions apply to your plan, contact your insurer or plan administrator. If you still have questions, contact your state insurance department.
- Talk to your health care provider: To know which covered preventive services are right for you — based on your age, gender, and health status — ask your health care provider.
For More Information
- Learn about the (USPSTF) U.S. Preventive Services Task Force recommendations
- For information on preventive practices, check out healthfinder.gov.
- Read the regulation or find detailed technical and regulatory information on prevention.
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