60 greater than that of a 65-year-old woman. The Plan will pay for the most cost-effective test methodology only; • Rh incompatibility screening for all pregnant women during their first visit for pregnancy related care, and follow-up testing for all unsensitized Rh (D) negative women at 24-28 weeks’ gestation, unless the biological father is known to be Rh (D) negative; • Screening for gestational diabetes in asymptomatic pregnant women between 24 and 28 weeks’ gestation and at the first prenatal visit for pregnant women identified to be at risk for diabetes; • Screening for type 2 diabetes in women with a history of gestational diabetes mellitus (GDM) who are not currently pregnant and who have not previously been diagnosed with type 2 diabetes; • Screening women for urinary incontinence annually; • Tobacco use screening and interventions for all women, as part of a well woman visit, and expanded counseling for pregnant tobacco users as set forth under the tobacco use program prescribed under ACA; • Syphilis screening for all pregnant women or other women at increased risk, as part of a well woman visit; • Screening and counseling for interpersonal and domestic violence, as part of a well woman visit; and • Effective for plan years beginning on or after February 1, 2017, depression screening for pregnant and post-partum women. Covered Preventive Services for Children • Well baby and well child visits from newborn through age 21, as recommended for pediatric preventive health care by “Bright Futures/American Academy of Pediatrics.” Visits will include the following age-appropriate screenings and assessments: • Anxiety disorder screening in children and adolescents aged 8 to 18 years; • Developmental screening for children under age three, and surveillance throughout childhood; • Behavioral assessments for children of all ages; • Medical history; • Blood pressure screening; • Depression and suicide risk screening for adolescents ages 12-18; • Vision screening at least once in all children aged 3 to 5 years to detect amblyopia or its risk factors; • Hearing screening; • Height, weight and body mass index measurements for children; • Autism screening for children at 18 and 24 months; • Alcohol and drug use assessments for adolescent • Critical congenital heart defect screening in newborns; • Hematocrit or Hemoglobin screening for children;
BTF Summary Plan A/A+ Page 64 Page 66