Preventive Services Use Among People with Private Insurance Coverage

KFF March 20, 2023
Krutika Amin, Brett Lissenden, Allison Carley, Gregory Pope, Gary Claxton, Matthew Rae, Shameek Rakshit, Cynthia Cox

This analysis of claims data estimates that six in ten people with private health insurance – or about 100 million people – used at least one preventive service covered without any out-of-pocket costs through a provision of the Affordable Care Act (ACA) in a typical year prior to the COVID-19 pandemic (2018).

The provision that requires most private health plans to cover many preventive services without any cost-sharing for their enrollees is being challenged in federal court. The U.S. District Court in the Northern District of Texas in September concluded that aspects of the requirement were unconstitutional and violated religious rights but has allowed the provision to remain in effect while it considers a remedy.

The most commonly...

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