57 • Health Resources and Services Administration (HRSA) guidelines including the American Academy of Pediatrics Bright Futures 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 benefit is covered under this preventive services benefit. The following benefits are available under the Plan’s preventive services benefit with no cost sharing, pursuant to the applicable USPSTF, ACIP, and HRSA preventive services recommendations and guidelines effective January 1, 2025. 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; • Anxiety disorders screening for adults 64 years or younger, including pregnant and postpartum persons; • Asymptomatic bacteriuria: screening for asymptomatic bacteriuria using culture in pregnant persons; • Behavioral counseling interventions for adults with cardiovascular disease risk factors. • Behavioral counseling interventions for health weight gain in pregnancy. • Blood pressure 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 beginning at age 45 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 impose 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 specialist consultation; or a pathology exam on a polyp biopsy; • Depression and suicide risk screening for adults; • Type two (2) diabetes screening for asymptomatic adults aged 35 to 70 years who are overweight or have obesity ; ; • Diet counseling for adults at higher risk for chronic disease; • Exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls. • HIV screening for all adolescents and adults ages 15 to 65 and for younger and older individuals at increased risk;