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About 137 million individuals with private insurance are guaranteed access to free preventive services

aspe-preventive-services-fullNationwide, about 137 million individuals, including 55 million women and 28 million children, have private health insurance that covers recommended preventive services without cost sharing, according to a new ASPE Data Point from the Department of Health and Human Services. Under the Affordable Care Act, most health plans are required to provide coverage for recommended preventive health care services without co-pays. Increased access to preventive services can reduce and prevent costly chronic diseases and help Americans live healthier lives. These services include but are not limited to:

  • Blood pressure screening
  • Obesity screening and counseling
  • Well-woman visits
  • Domestic violence screening and counseling
  • Breastfeeding support and supplies
  • FDA-approved contraceptive methods
  • Well-baby and well-child visits
  • Flu vaccination and other immunizations
  • Tobacco cessation interventions
  • Vision screening for children
  • HIV screening
  • Depression screening

The data released today are broken down by state, age, gender, and race and ethnicity.  Of the about 137 million individuals with access to recommended preventive services without cost sharing:“Thanks to the Affordable Care Act, millions more Americans have access to preventive services, including vaccinations, well-baby visits, and diabetes and blood pressure screenings,” said Secretary Sylvia M. Burwell. “These services can substantially improve the health of families, and in some cases even save lives. We urge all individuals with health care coverage to take advantage of these services. This can make a tremendous difference in the health of Americans.”

  • 28.5 million are children, who have access to free preventive service coverage for flu vaccinations and other immunizations, vision screening, and well-baby and well-child visits.
  • 55.6 million are women, who have access to free preventive services such as well-woman visits, breastfeeding support and supplies, and recommended cancer screenings.
  • 53.5 million are men, who have access to annual wellness visits, blood pressure screening, and cancer screenings.
  • And an estimated 15 million are Black, 17 million are Latino, and 8 million are Asian-Americans who have access to recommended preventive services without cost sharing.

Some of the estimated 137 million individuals that are guaranteed access to preventive services without cost sharing today may have had access to one or more of those services without cost sharing prior to the implementation of the Affordable Care Act. According to the Kaiser Family Foundation’s Employer Health Benefits Survey in 2012, 41 percent of all workers were covered by employer-sponsored group health plans that expanded their list of covered preventive services due to the Affordable Care Act. Based on this and available Health Insurance Marketplace data at the time, HHS previously estimated [PDF 168KB] that approximately 76 million Americans – and 30 million women – received expanded coverage of one or more preventive services because of the Affordable Care Act.

To read a fact sheet explaining today’s data point, please visit: [PDF 219KB]