44 Preventive and Wellness Services The Plan provides the following preventive and wellness services for all covered participants in keeping with prevailing medical standards, including frequency and age recommendations, as appropriate for the typ e of service. The requirement that benefits be paid only for charges that are medically necessary does not apply to these routine services. Preventive Services are required by the Affordable Care Act (ACA). If services are received from in - network provide rs , there is no cost sharing (for example, no deductibles, coinsurance, or copayments) for the following preventive services: • Services described in the United States Preventive Service s Task Force (USPSTF) A and B recommendations; • Services described in g uidelines issued by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC); and • Health Resources and Services Administration (HRSA) guidelines including the American Academy of Pediatrics Bright Fut ures guidelines and HRSA guidelines relating to services for women. In some cases, federal guidelines are unclear about which preventive benefits must be covered under the ACA. In those cases, the Claims Administrator will determine whether a particular be nefit is covered under this preventive services benefit. The following benefits are available under the Plan’s preventive services benefit with no cost sharing. Where medications or vitamins are noted, a prescription is required and the benefit is provided through the Prescription Drug coverage. Covered Preventive Services for Adults • Abdominal aortic aneurysm one - time screening for men of specified ages who have ever smoked; • Alcohol misuse screening and counseling: Screening and behavioral counseling interv entions to reduce alcohol misuse by adults ages 18 and older, including pregnant women, in primary care settings; • Aspirin use for men ages 45 to 79 and women ages 55 to 79 when prescribed by a health care provider to prevent cardiovascular disease; • Blood p ressure screening for all adults age 18 and older. Blood pressure screening is not payable as a separate claim, as it is included in the payment for a physician visit; • Cholesterol screening for men aged 35 and older and women aged 45 and older, men aged 20 to 35 if they are at increased risk for coronary heart disease, and women aged 20 to 45 if they are at increased risk for coronary heart disease; • Colorectal cancer screening using fecal occult blood testing, sigmoidoscopy or colonoscopy, in adults beginni ng at age 50 and continuing until age 75. The test methodology must be medically appropriate for the patient. The Plan will not impose cost sharing with respect to a polyp removal during a colonoscopy performed as a screening procedure. The plan will not i mpose cost - sharing with respect to the following services when these services are provided in connection with a screening colonoscopy and the attending provider determines the service is medically appropriate; anesthesia services; a pre - procedure specialis t consultation; or a pathology exam on a polyp biopsy; • Depression screening for adults; • Type two (2) diabetes screening for asymptomatic adults with sustained blood pressure (either treated or untreated) greater than 135/80 mm Hg; • Diet counseling for adults at higher risk for chronic disease;