Marketplace Plans – Children

Most marketplace health plans must cover a set of preventive health services for children at no cost. Check with your plan provider to verify full coverage by a Thomas Hospitals provider.

Preventive Screenings for Children

  • Alcohol, tobacco, and drug use assessments – For adolescents
  • Autism screening – For children at 18 and 24 months
  • Behavioral assessments – For children ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years
  • Bilirubin concentration screening – For newborns
  • Blood pressure screening – For children ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years
  • Blood screening – For newborns
  • Cervical dysplasia screening – For sexually active females
  • Depression screening – For adolescents beginning routinely at age 12
  • Developmental screening – For children under age 3
  • Dyslipidemia screening – For all children once between 9 and 11 years and once between 17 and 21 years, and for children at higher risk of lipid disorders ages: 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years
  • Hearing screening – For all newborns; and for children once between 11 and 14 years, once between 15 and 17 years, and once between 18 and 21 years
  • Height, weight and body mass index (BMI) measurements – For children ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years
  • Hematocrit or hemoglobin screening – For all children
  • Hemoglobinopathies or sickle cell screening – For newborns
  • Hepatitis B screening
  • HIV screening – For adolescents at higher risk
  • Hypothyroidism screening – For newborns
  • Lead screening – For children at risk of exposure
  • Obesity screening and counseling
  • Phenylketonuria (PKU) screening – For newborns
  • Sexually transmitted infection (STI) prevention screening – For adolescents at higher risk
  • Tuberculin testing – For children at higher risk of tuberculosis ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years
  • Vision screening – For all children

Immunization

For children from birth to age 18, vaccine doses, recommended ages, and recommended populations vary. Visit a Thomas Health provider to ensure that your child’s immunization plan is on track.

  • Diphtheria, Tetanus, Pertussis (Whooping Cough)
  • Haemophilus influenza type b
  • Hepatitis A
  • Hepatitis B
  • Human Papillomavirus (HPV)
  • Inactivated Poliovirus
  • Influenza (flu shot)
  • Measles
  • Meningococcal
  • Pneumococcal
  • Rotavirus
  • Varicella (Chickenpox)
  • Iron supplements for children ages 6 to 12 months at risk for anemia