Maximize your health benefits by utilizing NO COST preventive care services. These services comprise regular health check-ups and screenings for common illnesses, which can prevent additional health problems and reduce future expenses.
For preventive care services, Round Rock ISD benefit plans provide full coverage for in-network office visits and lab tests. Preventive services from an out-of-network provider are subject to any applicable deductible and coinsurance. Find a provider.
Preventive vs. Diagnostic
Diagnostic care is diagnosing, treating, and monitoring a disease or condition. If your visit results in the diagnosis of a condition or treatment of an existing condition, this service is diagnostic.
Preventive Care Service
- You have a screening done within the recommended time frame (i.e., annual mammogram) with normal findings.
- You have normal diagnostic service results, and future preventive screenings follow the recommended preventive services timeframe.
- You have a preventive care service that results in a therapeutic service that your physician requires at the same medical visit but does not result in a diagnosis.
Diagnostic Care Service
- You have abnormalities found on a current or previous preventive or diagnostic care service that requires further diagnostic services or a repeat of the same service within a shortened time frame.
- You have a symptom(s) that require further diagnosis.
Adult Women:
- Contraceptive counseling and administration of contraceptives
- Osteoporosis screening age 65 and older, or younger based on risk
- Chlamydia infection screening
- Gonorrhea and syphilis screening
- HPV and pap smear screening every three years for ages 30+
- Contraceptive counseling and administration of contraceptives
- Osteoporosis screening age 65 and older, or younger based on risk
- Chlamydia infection screening
- Gonorrhea and syphilis screening
- HPV and pap smear screening every three years for ages 30+
Pregnant Women:
- Folic acid supplements
- Anemia screening for iron deficiency
- Tobacco cessation counseling
- Syphilis screening
- Hepatitis B screening
- Rh incompatibility blood type testing
- Bacteriuria urinary tract infection screening
- Breastfeeding support, services, supplies limited to 6 lactation counseling visits per plan year
- Gestational diabetes for certain pregnant women
- Depression
- Preeclampsia in certain women
Men
- Abdominal aortic aneurysm one-time screening in men ages 65 to 75 years who have ever smoked
- Osteoporosis screening age 70+, or younger, based on medical necessity
Cancer Screenings
- Breast cancer mammography for women age 35+, or younger, based on increased risk factors , once per plan year
- BRCA counseling about genetic testing (precertification required)
- Cervical cancer screening including cervical dysplasia screening and pap test for women 18 and over
- Colorectal cancer screenings including fecal occult blood testing, double contrast barium enema, sigmoidoscopy or colonoscopy, for adults 45+ once every 10 years
- Prostate cancer (PSA) screening for men age 40+ if high risk. Otherwise, covered for 45+, once per plan year
Adults
- General Health Visits and Screenings
- Annual wellness visit
- At-home check-ups with Catapult
- Cholesterol screening
- Type 2 diabetes screening
- HIV and sexually transmitted infections (STIs) screenings
- Hypertension screening
- Health Counseling – Doctors are encouraged to counsel patients about these health issues and refer them to appropriate resources as needed
- Healthy diet/obesity counseling for ages 22+, limited to 26 visits per 12 months. Up to 10 visits used for healthy diet counseling.
- Weight loss
- Smoking cessation counseling, limited to 8 visits per 12 months.
- Alcohol misuse
- Depression
- Prevention of sexually transmitted infections (STIs)
- Use of aspirin to prevent cardiovascular disease
Immunizations
- COVID-19
- Hepatitis A and B
- Herpes Zoster (Shingles )
- Human Papillomavirus (HPV)
- Influenza (Flu)
- Measles, Mumps, Rubella
- Meningococcal
- Pneumococcal (pneumonia)
- Tetanus, Diphtheria, Pertussis
- Varicella (chickenpox)
Children and Adolescents
- Newborns
- Screening for hearing loss
- Hypothyroidism
- Sickle cell disease
- Phenylketonuria (PKU)
- Gonorrhea
- Preventive medication for eyes
Immunizations
- Diphtheria, Tetanus, Pertussis
- Haemophilus influenzae type B
- Hepatitis A and B
- Human Papillomavirus(HPV)
- Influenza (Flu)
- Measles, Mumps, Rubella
- Meningococcal
- Pneumococcal (Pneumonia)
- Inactivated Poliovirus
- Rotavirus
- Varicella (Chickenpox)
Childhood health screenings
- Medical history for all Children throughout development
- Height, weight and Body Mass Index (BMI) measurements
- Developmental screening
- Autism screening
- Behavioral assessment
- Vision screening to detect amblyopia or risk factors
- Oral health risk assessment
- Hematocrit or hemoglobin screening
- Obesity screening and Weight management counseling
- Iron supplements
- Fluoride supplements
- Lead screening
- Dyslipidemia screening
- Tuberculin testing
Adolescent health screenings
- Depression screening
- Alcohol and drug use assessment
- Counseling to prevent sexually transmitted infections (STIs)
- HIV screening
Coverage of preventive services and screenings are based on recommendations from the United States Preventive Services Task Force (USPSTF) and the Centers for Disease Control and Prevention (CDC). Round Rock ISD also considered additional preventive services for infants, children, adolescents, and women based on recommendations from the Health Resources and Services Administration (HRSA). Preventive care services may change as USPSTF, CDC and HRSA guidelines are modified.