Preventive health services in 2025 are a cornerstone of overall well-being. You can stay on top of your health by detecting potential health issues early. Most health plans, including those through the 2025 Covered California Health plan, cover a comprehensive set of preventive services at no cost to you when delivered by an in-network provider. This ensures you and your family can access necessary preventive care without financial burden.
At Skyline Benefit, an independent health insurance broker in Fullerton, CA, our mission is to make this process easier for you. We are committed to providing affordable and flexible health insurance options that help you understand and utilize all available Preventive Care under your health insurance in 2025.
What Are Preventive Services?
Preventive services are medical services designed to prevent illnesses or detect health issues at an early stage when they are more treatable. These services include screenings, counseling, and immunizations that can save lives and improve health outcomes.
Why Are Preventive Services Important?
Preventive services are essential because they help identify illnesses early, manage them more effectively, and prevent conditions from developing into more severe health problems. Research shows that these services can save lives and are often cost-effective, reducing overall healthcare costs by preventing the need for more intensive treatments later on.
Preventive Services for Children and Youth
Children and adolescents are eligible for a range of preventative services. As of 2025, most health plans, including plans obtained through Covered California, are required to cover a set of preventive health services for children at no cost. These services are provided free of charge when delivered by an in-network provider.
The following are some of the preventive health services for children that are covered at no cost:
1. Well-Child Visits: Regular check-ups that include screenings and immunizations.
2. Developmental Assessments: Screenings for autism, vision impairment, lipid disorders, and more.
3. Immunizations: Vaccines for chickenpox, diphtheria, tetanus, pertussis, hepatitis A and B, and HPV.
4. Drug use assessments for adolescents
5. Depression screening for adolescents beginning routinely at age 12
6. Developmental screening for children under age 3
7. Hearing screening for all newborns
8. Immunizations for children from birth to age 18
9. Lead screening for children at risk of exposure
10. Obesity screening and counseling
11. Vision screening for all children.
Preventive Services for Women
Women have access to additional preventive services that are covered to ensure comprehensive healthcare. The Health Resources and Services Administration (HRSA) has outlined specific services to address women’s needs.
The 2025 Covered California health plans and many other plans must cover the following preventive services for pregnant women without charging a copayment or coinsurance, even if the yearly deductible has not been met.
Some key services for pregnant women or women who may become pregnant:
1. Breastfeeding support and counseling
2. Access to breastfeeding supplies
3. FDA-approved contraceptive methods and sterilization procedures
4. Folic acid supplements for women who may become pregnant
5. Gestational diabetes screening
6. Maternal depression screening
7. Preeclampsia prevention and screening
8. Expanded tobacco intervention and counseling for pregnant tobacco users.
Other covered preventive services for women.
1. Bone density screening for women over 65 or postmenopausal
2. Breast cancer screening for women 40 and older
3. Cervical cancer screening (Pap test) for women 21-65
4. Chlamydia infection screening for at-risk young women
5. Diabetes screening for women with a history of gestational diabetes
6. Domestic violence screening and counseling for all women
7. HIV screening and counseling for at-risk women
8. Sexually transmitted infections counseling for sexually active women
9. Well-woman visits for recommended services
Preventive Services for All Adults
In 2025, healthcare plans are required to cover a range of preventive services for adults without any cost-sharing. This means you won’t have to pay copayments, deductibles, or coinsurance for these services.
Here are some of the preventive services for adults
Abdominal Aortic Aneurysm Screening, Alcohol Misuse Screening and Counseling, Aspirin Use, Blood Pressure Screening, Cholesterol Screening, Colorectal Cancer Screening, Depression Screening, Diabetes (Type 2) Screening, Diet Counseling, Falls Prevention, Hepatitis B Screening, Hepatitis C Screening, HIV Screening, PrEP (Pre-Exposure Prophylaxis) HIV Prevention Medication, Immunizations, Lung Cancer Screening, Obesity Screening and Counseling, Sexually Transmitted Infection (STI) Prevention Counseling, Statin Preventive Medication, Syphilis Screening, Tobacco Use Screening, Tuberculosis Screening
How Skyline Benefit Can Help
Skyline Benefit is here to guide you through selecting and understanding your health insurance plan. We offer personalized consultations to ensure you know all the preventive services available to you and how to access them. Our team can help you with:
- Personalized Guidance: One-on-one consultations to explore the best options for your needs.
- Finding In-Network Providers: Assistance in identifying service providers within your network.
- Transition Support: Navigating the process of switching plans or applying for continuity of services.
- Emergency and Out-of-Network Care: Information on accessing emergency care and understanding your out-of-network benefits.
Empowering Your Health through Preventive Services in 2025
Preventive services will be a vital part of healthcare plans in 2025, helping to keep you healthy and detect potential health issues early. At Skyline Benefit, we are dedicated to simplifying the health insurance process and ensuring you make the most of your preventive services. Contact us today to learn more about how we can assist you in selecting the best health insurance plan for your needs.
Need Help with a Health Insurance Broker in California?
Skyline Benefit is an independent health insurance broker in Fullerton, CA that offers affordable and flexible health insurance options. Selecting the best health insurance plans can be overwhelming; our mission is to simplify the process and help our clients every step of the way.
Schedule a consultation today. Call us now at (714) 888-5112