www.coveredca.com
Open in
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23.99.0.12
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URL:
https://www.coveredca.com/learning-center/using-your-plan/free-preventive-care/?utm_source=SFMC&utm_medium=email&utm_campa...
Submission: On July 08 via api from US — Scanned from DE
Submission: On July 08 via api from US — Scanned from DE
Form analysis 5 forms found in the DOM
/site-search.html
<form class="form-inline my-2 my-lg-0 py-3 px-3 d-lg-none nav-site-search-form" action="/site-search.html">
<div class="position-relative w-100">
<div class="row">
<div class="col-12">
<div class="input-group d-flex align-items-start w-100">
<input type="hidden" class="d-none" name="index" value="1">
<input class="form-control nav-site-search-form__input nav-site-search-form__input--mobile" placeholder="Search" aria-label="Search" name="query" type="text">
<button class="btn border-left-0 border-radius-0 border-raidus-top-right-1 border-raidus-bottom-right-1 px-2 p-0 d-flex align-items-center border-gray-light" style="height: 40px;right: -1px" type="submit">
<i class="material-icons text-primary">search</i>
</button>
</div>
</div>
<div class="col-12 nav-site-search-form__invalid-feedback nav-site-search-form__invalid-feedback--red d-none" id="nav-site-search-input-invalid-feedback">
</div>
</div>
</div>
</form>/site-search.html
<form action="/site-search.html" class="flex-grow-1 nav-site-search-form" id="site-search-form-nav">
<div class="form-group mb-0">
<div class="row">
<div class="col-10 col-md-11">
<div class="input-group">
<div class="input-group-prepend">
<button type="submit" class="form-control btn btn-white btn-primary-on-hover h-100 d-flex align-items-center border border-right-0" style="left: -1px">
<i class="material-icons color-primary">search</i>
</button>
</div>
<label for="site-search-input-nav" class="sr-only" style="top:1000px;">Search</label>
<input type="text" class="form-control nav-site-search-form__input nav-site-search-form__input--desktop" style="border-top-right-radius: 50rem; border-bottom-right-radius: 50rem;" id="site-search-input-nav" name="query"
placeholder="Search CoveredCA.com">
<input type="hidden" class="d-none" id="site-search-index-nav" name="index" value="1">
</div>
</div>
<div class="col-2 col-md-1">
<div class="d-flex h-100 align-items-center">
<button class="bg-transparent border-0 p-0 search-active-toggle" type="button" style="height: 24px;"><i class="w-24px color-white material-icons">close</i></button>
</div>
</div>
<div class="col-12 nav-site-search-form__invalid-feedback nav-site-search-form__invalid-feedback--white d-none" id="nav-site-search-input-invalid-feedback">
</div>
</div>
</div>
</form><form class="sign-up__form subscription w-100" id="footer-subscribe">
<input type="hidden" name="StateSubsidy" value="true">
<input type="hidden" name="Source" value="footer">
<div class="row mx-0">
<div class="col-12">
<div class="form-group w-90 mx-auto">
<label class="text-dark m-0 pl-3" for="Name">First Name</label>
<input type="text" id="Name" name="Name" class="form-control form-control-sm border border-dark rounded-pill" placeholder="e.g. John">
</div>
</div>
<div class="col-6 ml-2">
<div class="form-group w-90 mx-auto">
<label class="text-dark m-0 pl-3" for="Zip">ZIP Code</label>
<input type="text" id="Zip" name="ZipCode" class="form-control form-control-sm border border-dark rounded-pill" placeholder="12345">
</div>
</div>
<div class="col-12">
<div class="form-group w-90 mx-auto mb-0">
<label class="text-dark m-0 pl-3" for="EmailAddress">Email*</label>
<input type="email" id="EmailAddress" name="EmailAddress" class="form-control form-control-sm border border-dark rounded-pill" placeholder="youremail@example.com" required="">
</div>
</div>
<div class="col-12">
<div class="w-90 mx-auto">
<span class="font-size-12px pl-3">* required</span>
</div>
</div>
<div class="col">
<button type="submit" id="gtm-sign-up" class="sign-up__submit-button--footer btn btn-sm btn-primary d-block mx-auto mt-2 mt-lg-0 px-5">Subscribe</button>
</div>
</div>
</form><form class="sign-up__form subscription" id="pop-up-subscribe">
<input type="hidden" name="StateSubsidy" value="true">
<input type="hidden" name="Source" value="Pop-up">
<div class="form-group">
<label class="text-primary" for="fNamePopUp">Enter First Name</label>
<input id="fNamePopUp" name="fNamePopUp" class="form-control border-primary">
</div>
<div class="form-group">
<label class="text-primary" for="ZipCode">Enter ZIP Code</label>
<input name="ZipCode" id="ZipCode" class="form-control border-primary">
</div>
<div class="form-group">
<label class="text-primary" for="eAddressPopUp">Enter Email Address (Required)</label>
<input type="email" id="eAddressPopUp" name="eAddressPopUp" class="form-control border-primary" required="">
</div>
<a class="text-center d-inline-block mb-4" href="/privacy">Privacy Policy</a>
<div class="loading text-center mb-3"><img src="//www.coveredca.com/images/loading.gif" alt="Loading..."></div>
<div class="col-8 offset-2">
<button id="signUp" type="submit" class="sign-up__submit-button btn btn-action w-100 gtm-lead-popup-subscribe" disabled="">Subscribe</button>
</div>
</form><form id="calculator-form" class="subsidy-calculator__form py-3 px-3 px-md-0" autocomplete="off">
<!-- Calculator API Error Message -->
<div id="subsidy-calculator__calculate-error-message" class="row mr-0 d-none">
<div class="col">
<div class="alert alert-danger text-center"> We are experiencing technical difficulties. Please try again later. </div>
</div>
</div>
<!-- Household Income, Zip and County -->
<div class="row mr-0 align-items-end">
<!-- Household Income -->
<div class="col-md-4 py-3">
<div id="household-income-component-01">
<div class="household-income-component">
<!-- HouseholdIncome Label -->
<div class="mb-2">
<label class="household-income-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__household-income"> Household Income </label>
<span id="calculator-tooltip--household-income" data-toggle="tooltip" title="" class="font-18px text-primary cursor-pointer d-inline material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
data-template="<div class="tooltip subsidy-calculator__tooltip" role="tooltip"><div class="arrow"></div><div class="tooltip-inner"></div></div>"
data-original-title="Household income refers to the estimated combined income of all family members for the year you plan to have coverage."> info </span>
</div>
<!-- HouseholdIncome Input -->
<div class="d-flex">
<input id="subsidy-calculator__household-income" class="household-income-component__input subsidy-calculator__input subsidy-calculator__input-income order-2" placeholder="28,000" type="text">
<div class="input-group-prepend order-1">
<span class="subsidy-calculator__dollar-sign">$</span>
</div>
</div>
<!-- HouseholdIncome Invalid Feedback -->
<div id="subsidy-calculator__household-income-invalid-feedback" class="household-income-component__invalid-feedback invalid-feedback"> Please enter a number </div>
</div>
</div>
</div>
<!-- ZIP -->
<div class="col-6 col-md-4 py-3">
<div id="zip-component-01">
<!-- ZIP Code Component -->
<div class="zip-code-component">
<!-- Label -->
<label class="font-weight-bold zip-code-component__label" for="subsidy-calculator__zip-code">ZIP Code</label> <br>
<!-- Input Group -->
<div class="d-flex">
<!-- Input -->
<input id="subsidy-calculator__zip-code" class="zip-code-component__input subsidy-calculator__input" placeholder="95834" type="text">
<!-- Location Button -->
<div class="input-group-append">
<span class="input-group-text icon-styles subsidy-calculator__form-control">
<button class="subsidy-calculator__flat-button gtm-calculator-geolocation zip-code-component__location-button" type="button">
<span class="sr-only">location</span>
<svg class="subsidy-calculator__icon-primary" focusable="false" viewBox="0 0 24 24" aria-hidden="true">
<path
d="M12 8c-2.21 0-4 1.79-4 4s1.79 4 4 4 4-1.79 4-4-1.79-4-4-4zm8.94 3c-.46-4.17-3.77-7.48-7.94-7.94V1h-2v2.06C6.83 3.52 3.52 6.83 3.06 11H1v2h2.06c.46 4.17 3.77 7.48 7.94 7.94V23h2v-2.06c4.17-.46 7.48-3.77 7.94-7.94H23v-2h-2.06zM12 19c-3.87 0-7-3.13-7-7s3.13-7 7-7 7 3.13 7 7-3.13 7-7 7z">
</path>
</svg>
</button>
</span>
</div>
</div>
<!-- Invalid Feedback -->
<div class="zip-code-component__invalid-feedback invalid-feedback"> Please enter a valid ZIP code </div>
</div>
</div>
</div>
<!-- County -->
<div class="col-6 col-md-4 py-3">
<div id="county-01" class="d-none">
<div class="county-component">
<label class="county-component__label font-weight-bold" for="subsidy-calculator__county">County</label> <br>
<select id="subsidy-calculator__county" class="county-component__input subsidy-calculator__select">
<option value="Sacramento">Sacramento</option>
</select>
</div>
</div>
</div>
</div>
<!-- Household Size, How many need coverage, coverage year-->
<div class="row mr-0 align-items-end">
<div id="household-size" class="col-6 col-md-4 py-3">
<div class="household-size-component subsidy-calculator__household-size">
<div class="mb-2">
<label class="household-size-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__household-size"> Household Size </label>
<span id="calculator-tooltip--household-size" data-toggle="tooltip" data-placement="right" title="" class="font-18px text-primary cursor-pointer material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
data-template="<div class="tooltip subsidy-calculator__tooltip" role="tooltip"><div class="arrow"></div><div class="tooltip-inner"></div></div>"
data-original-title="Include only the tax filer and any spouse or dependents (even if they aren’t applying for insurance)."> info </span>
</div>
<select id="subsidy-calculator__household-size" class="subsidy-calculator__select household-size-component__input">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
</select>
<div role="alert">
<div id="subsidy-calculator__household-size-invalid-feedback" class="invalid-feedback household-size-component__invalid-feedback"> Household size must be the same or more than how many need coverage. </div>
</div>
</div>
</div>
<div id="need-coverage" class="col-6 col-md-4 py-3">
<div class="need-coverage-component">
<label class="need-coverage-component__label font-weight-bold" for="subsidy-calculator__need-coverage">How many need coverage?</label> <br>
<select id="subsidy-calculator__need-coverage" class="need-coverage-component__input subsidy-calculator__select">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
</select>
<div role="alert">
<div id="subsidy-calculator__need-coverage-invalid-feedback" class="need-coverage-component__invalid-feedback invalid-feedback"> Cannot be more than the household size </div>
</div>
</div>
</div>
<div id="coverage-year" class="col-12 col-md-4 py-3" style="display: none;">
<div class="coverage-year-component">
<div class="mb-2">
<label class="coverage-year-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__coverage-year"> When do you want to start coverage? </label>
</div>
<select disabled="" id="subsidy-calculator__coverage-year" class="coverage-year-component__input subsidy-calculator__select">
<option value="2022">Next year (2022)</option>
<option value="2021">This year (2021)</option>
</select>
<div class="coverage-year-component__invalid-feedback invalid-feedback" role="alert"> Please enter a coverage year </div>
</div>
<script>
const now = new Date();
if (now.getFullYear() > 2021) document.getElementById('coverage-year').style.display = 'none';
</script>
</div>
</div>
<!-- Age of members needing coverage -->
<div class="row">
<div id="ages" class="col-12">
<div class="ages-component pt-4">
<div class="mb-2">
<span class="ages-component__label d-inline-block font-weight-bold pr-2"> Age of People Needing Coverage <span id="calculator-tooltip--member-ages" data-toggle="tooltip" data-placement="right" title=""
class="font-18px text-primary cursor-pointer material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
data-template="<div class="tooltip subsidy-calculator__tooltip" role="tooltip"><div class="arrow"></div><div class="tooltip-inner"></div></div>"
data-original-title="If under one year old, enter "1". Enter the age you and your household members will be on Jan. 1, 2022."> info </span>
</span>
<span id="member-age-label" class="d-none">Age of People Needing Coverage</span>
</div>
<!-- Household Member Ages Input Container -->
<div id="household-members" class="ages-component__ages-container d-flex flex-wrap m-0 w-100">
<div class="household-member-age mr-2"><label for="dynamic-age-input-1" class="font-weight-bold sr-only"><br> Age of People Needing Coverage<br> <br> info<br> <br> </label><input type="number" id="dynamic-age-input-1"
class="subsidy-calculator__household-member-age subsidy-calculator__input ages-component__age-input mr-2" placeholder="45"></div>
</div>
<div role="alert">
<div id="household-members-invalid-feedback" class="ages-component__invalid-feedback invalid-feedback"> Please enter a valid age for each person. </div>
</div>
</div>
</div>
</div>
<!-- UIB -->
<div class="row mr-0 align-items-end pt-4">
<div id="received-unemployment-benefits" class="col-md-8">
<div class="uib-component d-none">
<div class="font-weight-bold mb-2"> Received unemployment benefits in 2021? <span id="calculator-tooltip--uib" data-toggle="tooltip" data-placement="right" title=""
class="font-18px text-primary cursor-pointer ml-2 material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
data-template="<div class="tooltip subsidy-calculator__tooltip" role="tooltip"><div class="arrow"></div><div class="tooltip-inner"></div></div>"
data-original-title="If yes, your household likely qualifies for Silver 94 plans with lower deductibles, copays, and coinsurance — all for as low as $1 per person."> info </span>
</div>
<div class="d-inline-block pr-5 radio-container">
<label for="yes-unemployment">Yes <input class="uib-component__yes-radio" type="radio" id="yes-unemployment" name="unemployment-benefits" value="yes">
<span class="custom-radio"></span>
</label><br>
</div>
<div class="d-inline-block radio-container">
<label for="no-unemployment">No <input class="uib-component__no-radio" type="radio" id="no-unemployment" name="unemployment-benefits" value="no" checked="">
<span class="custom-radio"></span>
</label><br>
</div>
<div id="received-unemployment-benefits--info" class="subsidy-calculator__uib-info d-none">
</div>
</div>
</div>
</div>
<!-- Calculate Button -->
<div class="row mr-0 mt-auto pt-4">
<div class="col-12 d-md-flex justify-content-md-end pr-md-5 py-3">
<div id="calculate">
<a href="#results-container" id="calculate-desktop" class="subsidy-calculator__calculate-button btn btn-primary px-0 px-lg-5 d-none d-sm-block gtm-calculator-calculate disabled">Calculate</a>
<a href="#results-container" id="calculate-mobile" class="subsidy-calculator__calculate-btn-mobile btn btn-primary px-5 d-block d-sm-none w-75 mx-auto gtm-calculator-calculate disabled">Calculate</a>
</div>
</div>
</div>
</form>Text Content
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1. Home
2. Learning Center
3. Using Your Plan
4. Free Preventive Care
FREE PREVENTIVE CARE
--------------------------------------------------------------------------------
Your health plan is not just for when you or your family members are sick. It’s
also important to understand and use the preventive care that is available to
you when you are well. These preventive checkups, like annual physicals and
receiving vaccinations are available at no added cost to you and, more
importantly, can help you stay healthy.
Most health plans offer many preventive services without charging you a copay or
coinsurance when you visit a doctor in your network. This is true even if you
haven’t met your yearly deductible. Call your health plan directly to find out
if the preventive services below for adults, women and children are available to
you.
PREVENTIVE CARE FOR ADULTS
1. Annual adult wellness exams.
2. Abdominal aortic aneurysm one-time screening for men of specified ages who
have ever smoked.
3. Alcohol misuse screening and counseling.
4. Aspirin use to prevent cardiovascular disease for men and women of certain
ages.
5. Blood pressure screening.
6. Cholesterol screening.
7. Colorectal cancer screening for adults over 50.
8. Depression screening.
9. Diabetes (Type 2) screening for adults with high blood pressure.
10. Diet counseling for adults at higher risk for chronic disease.
11. HIV screening for everyone ages 15 to 65, and other ages at increased risk.
12. Immunization vaccines for adults, including:
* Haemophilus influenzae type b.
* Hepatitis A.
* Hepatitis B.
* Herpes Zoster.
* Human papillomavirus.
* Influenza (flu).
* Measles, mumps and rubella.
* Meningococcal disease.
* Pneumococcal disease.
* Tetanus, diphtheria and pertussis.
* Varicella.
13. Obesity screening and counseling.
14. Sexually transmitted infection prevention counseling for adults at higher
risk.
15. Syphilis screening for all adults at higher risk.
16. Tobacco use screening for all adults and cessation interventions for
tobacco users.
17. Skin cancer counseling for persons at high risk.
18. Lung cancer screening for persons at high risk.
19. Hepatitis C screening for persons at high risk.
20. Falls in older adults, counseling, preventive medication and other
interventions for community-dwelling adults age 65 and older who are at
increased risk for falls.
21. Statin preventive medication for adults 40 to 75 at high risk.
PREVENTIVE CARE FOR WOMEN
1. Anemia screening for pregnant women.
2. Breast cancer genetic test counseling (BRCA) for women at higher risk.
3. Breast cancer mammography screenings every one to two years for women over
40.
4. Breast cancer chemoprevention counseling for women at higher risk.
5. Breastfeeding comprehensive support and counseling from trained providers,
and access to breastfeeding supplies, for pregnant and nursing women.
6. Cervical cancer screening.
7. Chlamydia infection screening for younger women and other women at higher
risk.
8. Contraception.
9. Domestic and interpersonal violence screening and counseling.
10. Folic acid supplements for women who may become pregnant.
11. Gestational diabetes screening for women 24 to 28 weeks pregnant and those
at high risk of developing gestational diabetes.
12. Gonorrhea screening for all women at higher risk.
13. Hepatitis B screening for pregnant women at their first prenatal visit.
14. HIV screening and counseling.
15. Human papillomavirus (HPV) DNA test every three years for women with normal
cytology results who are 30 or older.
16. Osteoporosis screening for women over age 60, depending on risk factors.
17. Rh incompatibility screening for all pregnant women and follow-up testing
for women at higher risk.
18. Sexually transmitted infections counseling.
19. Syphilis screening for all pregnant women or other women at increased risk.
20. Tobacco use screening and interventions, including expanded counseling for
pregnant tobacco users.
21. Urinary tract infection or other infection screening for pregnant women.
22. Well-woman visits.
23. Preeclampsia prevention and screening for pregnant women with high blood
pressure.
24. Urinary incontinence screening for women yearly.
PREVENTIVE CARE FOR CHILDREN
1. Wellness exams.
2. Autism screening for children at 18 and 24 months.
3. Behavioral assessments for children up to 17 years old.
4. Blood pressure screening for children up to 17 years old.
5. Cervical dysplasia screening for sexually active females.
6. Depression screening.
7. Developmental screening for children under age 3.
8. Dyslipidemia screening for children from 1 to 17 years old at higher risk
of lipid disorders.
9. Fluoride chemoprevention supplements.
10. Gonorrhea preventive medication for the eyes of all newborns.
11. Hearing screening for all newborns.
12. Height, weight and body mass index measurements for children up to 17 years
old.
13. Hematocrit or hemoglobin screening.
14. Hemoglobinopathies or sickle cell screening for newborns.
15. HIV screening for adolescents at higher risk.
16. Immunization vaccines for children from birth to age 18, including:
* Diphtheria, tetanus and pertussis.
* Haemophilus influenzae type b.
* Hepatitis A.
* Hepatitis B.
* Human papillomavirus.
* Inactivated poliovirus.
* Influenza (flu).
* Measles, mumps, rubella.
* Meningococcal disease.
* Pneumococcal disease.
* Rotavirus.
* Varicella.
17. Iron supplements for children ages 6 to 12 months at risk for anemia.
18. Lead screening for children at risk of exposure.
19. Medical history for all children up to 17 years old throughout development.
20. Obesity screening and counseling.
21. Oral health risk assessment for young children up to 10 years old.
22. Phenylketonuria (PKU) screening for newborns.
23. Sexually transmitted infection (STI) prevention counseling and screening
for adolescents at higher risk.
24. Tuberculin testing for children up to 17 years old at higher risk of
tuberculosis.
25. Vision screening.
26. Tobacco use prevention for school-age children.
27. Alcohol, tobacco, and drug use assessments for adolescents.
28. Bilirubin concentration screening for newborns.
29. Blood screening for newborns.
30. Fluoride varnish for all infants and children as soon as teeth are present.
31. Hepatitis B screening for adolescents at high risk, including adolescents
from countries with 2 percent or more Hepatitis B prevalence, and U.S.-born
adolescents not vaccinated as infants and with at least one parent born in
a region with 8 percent or more Hepatitis B prevalence: 11 to 17 years.
32. Hypothyroidism screening for newborns.
WATCH
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3.5.3
CALCULATOR
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ESTIMATE WHAT YOU’LL PAY
Estimate what you might pay for your plan with the help of our nifty calculator.
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Household Income info
$
Please enter a number
ZIP Code
location
Please enter a valid ZIP code
County
Sacramento
Household Size info
1 2 3 4 5 6 7 8
Household size must be the same or more than how many need coverage.
How many need coverage?
1 2 3 4 5 6 7 8
Cannot be more than the household size
When do you want to start coverage?
Next year (2022) This year (2021)
Please enter a coverage year
Age of People Needing Coverage info Age of People Needing Coverage
Age of People Needing Coverage
info
Please enter a valid age for each person.
Received unemployment benefits in 2021? info
Yes
No
Calculate Calculate
Your Estimate $63 per month for a Silver plan. Bronze as low as $0. You may
qualify for: Covered California.
* You save $507 per month.
* Brand-name plans.
This isn’t an application for health coverage.
QUICK QUOTE
YOU MAY QUALIFY FOR
done
$63 per month
Medi-Cal
for a Silver plan.
Bronze plans as low as $0.
After financial help from: You may qualify for: You may qualify for: Covered
California both Covered California and no-cost or low-cost coverage through
Medi-Cal. no-cost or low-cost coverage
check_circle Financial Help: $507 per month
check_circle Bronze, Gold and Platinum plans also available
check_circle Coverage for children, adults and families
check_circle Free or affordable pregnancy coverage
check_circle Because of your income, you may be able to sign up now, even if you
don't have another qualifying life event.
Continue
This isn’t an application for health coverage. info
Total Subsidy: $506.80
Members going to cca: 1
Members going to medical: 0
Fed Fairshare: $62.90
FPL%: 217.39130434782606
Percentage of income: 0.0
SLS Benchmark cost: 569.70
SLS Rate: 394.53
Household Rating Factor: 1.44
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