43 Preventive and Wellness Services The Plan provides the following preventive and wellness services for all covered part icipants in keeping with prevailing medical standards, including frequency and age recommendations, as appropriate for the type of service. The requirement that benefits be p aid only for charges that are medically necessary does not apply to these routine services. Preventive Services are required by the Affordable Care Act (ACA). T here is no cost sharing (for example, no deductibles, coins urance, 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 guidelines issued by the Advisory Committee on Immunization Pract ices (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 Futures guidelines and HRSA guidelines relating to services for wom en. In some cases, federal guidelines are unclear about which preventive benefits must be covered under the ACA. In th ose cases, the Claims Administrator will determine whether a particular benefit is covered under this preventive services benefit. The fol lowing 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 Serv ices 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 interventions to reduce alcohol misuse by adults ages 18 and older, in cluding 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 pressure screening for all adults age 18 and older. Blood pressur e 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 f ecal occult blood testing, sigmoidoscopy or colonoscopy, in adults beginning at age 50 and continuing until age 75. The test methodology m ust 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 impose cost - sharing with respect to the following services when t hese services are provided in connection with a screening colonoscopy and the attending provider determines the service is medically appropriate; anesthesia services; a pre - procedure specialist consultation; or a pathology exam on a polyp biopsy; • Depressio n 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;