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Smart Healthcare

Preventive Care: The Best Healthcare Investment

An ounce of prevention is worth a pound of cure - and tens of thousands of dollars in medical bills. Under the Affordable Care Act, most preventive services are 100% free with no copay or deductible. Yet only 8% of Americans receive all recommended preventive care. This guide shows you how to take advantage of free screenings that can save your life and your wallet.

$0

Copay for Preventive Care

8%

Get All Recommended Care

$3.7T

Preventable Healthcare Costs

Free Preventive Services Under the ACA

These services must be covered at no cost to you when performed by an in-network provider:

  • Mammogram (women 40+)
  • Colonoscopy (adults 45+)
  • Cervical cancer screening (women)
  • Lung cancer screening (high-risk adults 50-80)
  • Prostate cancer discussion (men)

Prevention vs Emergency: The Cost Difference

Diabetes

PREVENTIVE

Annual A1C screening

$0 (covered)

Yearly

EMERGENCY

Diabetic ketoacidosis ER visit

$15,000 - $50,000

Life-threatening

Savings: Early detection can prevent $240K+ in lifetime complications

Colon Cancer

PREVENTIVE

Colonoscopy screening

$0 (covered)

Every 10 years

EMERGENCY

Stage 4 cancer treatment

$150,000+

14% 5-year survival

Savings: Screening catches 90%+ of cases when treatable (90% survival)

Heart Disease

PREVENTIVE

Cholesterol + BP screening

$0 (covered)

Yearly

EMERGENCY

Heart attack hospitalization

$50,000 - $200,000

Risk of death/disability

Savings: Statin therapy costs $500/year vs $100K+ heart attack

Breast Cancer

PREVENTIVE

Mammogram

$0 (covered)

Yearly (40+)

EMERGENCY

Late-stage breast cancer

$100,000 - $300,000

28% 5-year survival (Stage 4)

Savings: Early detection: 99% survival rate for Stage 1

Recommended Screening Schedule by Age

Ages 18-39

  • Blood pressure (every 2 years)
  • Cholesterol (every 4-6 years)
  • HIV test (at least once)
  • Depression screening
  • Annual dental exam

Ages 40-49

  • All above, plus:
  • Mammogram (women, annually)
  • Diabetes screening (every 3 years)
  • Eye exam (every 2-4 years)

Ages 50-64

  • All above, plus:
  • Colonoscopy (every 10 years)
  • Lung cancer screening (if smoker)
  • Shingles vaccine
  • Bone density (women 65+)

Ages 65+

  • All above, plus:
  • Annual wellness visit
  • Hearing test
  • Fall prevention counseling
  • Cognitive assessment

Frequently Asked Questions

Schedule Your Preventive Care

When you do need care beyond preventive services, compare prices to save. The same procedure can cost 386% more at one hospital versus another.

Compare Hospital Prices