44 • HIV screening for all adol escents and adults ages 15 to 65 and for younger and older individuals at increased risk; • Obesity screening and intensive counseling and behavioral interventions to promote sustained weight loss for obese adults. Screening includes measurement of BMI by th e clinician with the purpose of assessing and addressing body weight in the clinical setting; • Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk; • Tobacco use screening for all adults and cessation interventions for tobacco users; • Syphilis screening for all adults at higher risk; • Counseling for young adults to age 24 who have fair skin about minimizing their exposure to ultraviolet radiation to reduce risk for skin cancer; • Exercise or physical therapy to prevent falls in com munity - dwelling adults age 65 years and older who are at increased risk for falls; • Vitamin D supplementation to prevent falls in community - dwelling adults age 65 years and older who are at increased risk for falls; • Screening for H epatitis C virus (HCV) inf ection in persons at high risk for infection and a one - time screening for HCV infection in adults born between 1945 and 1965; • Annual screening for lung cancer with low - dose computed tomography in adults ages 55 to 80 years who have a 30 pack/year smoking h istory and currently smoke or have quit within the past 15 years; and • Screening for H epatitis B virus infection in adults at high risk for infection. Covered Preventive Services for Women, Including Pregnant Women • Well woman office visits for women ages 21 to 64, for the delivery of required preventive services (includes prenatal visits); • Anemia screening on a routine basis for pregnant women; • Bacteriuria urinary tract or other infection screening for pregnant women. Screening for asymptomatic bacteriuria w ith urine culture for pregnant women is payable at 12 to 16 weeks gestation or at the first prenatal visit, if later; • BRCA counseling about genetic testing for women at higher risk. Women whose family history is associated with an increased risk for delete rious mutations in BRCA 1 or BRCA 2 genes will receive referral for counseling. The Plan will also cover BRCA 1 or 2 genetic tests without cost - sharing, if appropriate as determined by the woman’s health care provider, including for a woman who has previou sly been diagnosed with cancer, as long as she is not currently symptomatic or receiving active treatment for breast, ovarian, tubal or peritoneal cancer; • Breast cancer screening mammography for women with or without clinical breast examination and with or without diagnosis, every 1 to 2 years for women aged 40 and older; • Breast cancer chemoprevention counseling for women at higher risk. The Plan will pay for counseling by physicians with women at high risk for breast cancer and at low risk for adverse effe cts of chemoprevention, to discuss the risks and benefits of chemoprevention. The Plan will also pay for risk - reducing medications for women at increased risk for breast cancer and at low risk for adverse medication effects; • Low - dose aspirin after 12 weeks of gestation for women who are at high risk for preeclampsia;