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Is it true that the plan deductible must be satisfied before preventive services are covered?

True

False

Preventive services are typically covered without cost-sharing, meaning you don’t have to meet your deductible before benefits apply. This design encourages early detection and ongoing wellness, and under many ACA-compliant plans, in-network preventive care is paid in full with no deductible, copayment, or coinsurance.

There are exceptions to keep in mind: if the service isn’t on the plan’s approved preventive list, isn’t performed by an in-network provider, or if the plan isn’t ACA-compliant (or is grandfathered), cost-sharing may apply. Out-of-network preventive care can also incur costs. Always check the specific plan details to confirm whether a given preventive service is covered at 100% in-network.

It depends on the service

Only for certain plans

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