What qualifies as preventive care?

Asked by: Newell Lueilwitz  |  Last update: September 8, 2025
Score: 4.9/5 (7 votes)

Routine health care that includes screenings, check-ups, and patient counseling to prevent illnesses, disease, or other health problems.

What is not considered preventive care?

ANSWER: If the physician orders lab work during a preventive care visit, some of the tests may be covered as preventive care, such as a cholesterol screening. However, other blood chemistry panels, such as anemia screening, kidney or liver function, would not be covered as preventive care.

Which of the following is considered preventive care?

Preventive care helps detect or prevent serious diseases and medical problems before they can become major. Annual check-ups, immunizations, and flu shots, as well as certain tests and screenings, are a few examples of preventive care. This may also be called routine care.

What services are considered preventive care?

Preventive Care
  • 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.

What are the four major categories of preventative care?

4 Categories of Preventive Care Services Covered Under the ACA
  • Screenings and counseling.
  • Routine immunizations.
  • Preventive services for women.
  • Preventive services for children and youth.

Why is preventative care so important?

21 related questions found

Which of the following is not a type of preventative care?

Going to a doctor only when something is wrong is not an example of preventative care, while keeping up-to-date with vaccines, wellness checkups, and developing healthy habits are all examples of preventative care.

What are the 3 levels of preventive care?

The three levels of prevention are primary, secondary, and tertiary.

What type of service is not considered to be a preventive medical service?

What health services are NOT considered preventive care? Medical services for specific health issues or conditions, on-going care, lab tests or other services necessary to manage or treat an already-identified medical issue or health condition are considered diagnostic care, not preventive care.

Which is the best example of preventive health care?

Preventive health care
  • Screen for diseases, such as high blood pressure, diabetes, and cancer.
  • Look for future disease risks, such as high cholesterol and obesity.
  • Discuss alcohol use and safe drinking and tips on how to quit smoking.
  • Encourage a healthy lifestyle, such as healthy eating and exercise.
  • Update vaccinations.

What preventive services are not covered by Medicare?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

Does blood work count as preventive care?

Answer: The quarterly blood tests are considered non-preventive because they are treatment for an existing condition.

Is a colonoscopy considered preventive care?

Under the Affordable Care Act, you can get certain preventive health care tests done for free. Colonoscopy is one of these tests. It is often free, but there are some cases in which patients must pay part of the cost.

Which activity is included in preventive health care?

In addition to physical exams, these visits focus on preventive care, such as: Screening tests, which are medical tests to check for diseases early, when they may be easier to treat. Services, like vaccines (shots), that improve your health by preventing diseases and other health problems. Dental cleanings.

What is an example of non preventive care?

Non-preventive care examples:
  • Primary care office visits related to a specific health care need such as the common cold or flu, seasonal allergies, rashes or minor injuries.
  • Certain appointments with specialty doctors such as dermatologists, allergists or cardiologists, depending on your insurance coverage.

Why am I being charged for preventive care?

Although you don't pay cost-sharing charges when you receive preventive care, the cost of those services is wrapped into the cost of your health insurance. Thus, whether or not you choose to get the recommended preventive care, you're paying for it through the cost of your health insurance premiums anyway.

Is a colonoscopy considered preventive care in United Healthcare?

A: Yes, in this situation, the colonoscopy would be considered under the preventive care services benefit when billed in accordance with the coding in the Colorectal Cancer Screening row listed in this policy.

What is preventive care considered?

Preventive and routine care is care that helps prevent health problems or finds them before they become serious. One of the best things you can do for your health is to use these services. Not all health plans are the same. There are options depending upon your needs and qualifications.

What is an example of primary preventive care?

Primary Prevention

It commonly institutes activities that limit risk exposure or increase the immunity of individuals at risk to prevent a disease from progressing in a susceptible individual to subclinical disease. For example, immunizations are a form of primary prevention.

Which of the following would be considered preventive care?

What's considered preventive care?
  • Your annual physical care exam.
  • Vaccines.
  • Well-baby and well-child care.
  • Recommended cancer tests and screenings at certain ages for skin, breast, colon, prostate, lung and cervical cancer.
  • Other health screenings for things like osteoporosis and diabetes.

What does not preventive include?

An office visit that is not considered a preventative exam includes:
  • Discussing or getting treatment for a specific health concern, condition or injury.
  • Lab work, X-rays or additional tests related to a specific health concern, condition or injury.

How much does Medicare pay for home health care per hour?

Medicare will cover 100% of the costs for medically necessary home health care, provided that care is “part time or intermittent.” The care needed must be less than 28 hours per week. The average cost of home health care in 2024 is $29.50 per hour, but it can vary greatly by state.

Is bloodwork covered by insurance?

Preventive vs. Diagnostic: If the blood work is part of preventive care (such as routine screening tests), many insurance plans cover it fully. However, if the blood work is for diagnostic purposes (e.g., to investigate a symptom or monitor a known health condition), it might come with out-of-pocket costs.

What are the four major types of clinical preventive care?

Clinical preventive services are often defined as screening tests, immunizations, health behavior counseling, and preventive medications.

Is a colonoscopy primary or secondary prevention?

Secondary prevention of colorectal cancer is principally by colonoscopic visualization of any remaining colon in patients with familial or sporadic colorectal cancer. Routine screening modalities used for primary prevention have no role in secondary prevention.

What is an example of prevention?

Examples include:
  • legislation and enforcement to ban or control the use of hazardous products (e.g. asbestos) or to mandate safe and healthy practices (e.g. use of seatbelts and bike helmets)
  • education about healthy and safe habits (e.g. eating well, exercising regularly, not smoking)