The Affordable Care Act (ACA) provides in-network preventive benefits with no cost sharing. Preventive services are based on government recommendations. Check your member guide for more information specific to your preventive benefits.
See below for the current list of drugs available under this benefit:
- View the 2021 ACA Preventive Drug List for Individual Under 65 members and Group members on the Enhanced, Essential and NetResults formularies
- View the 2020 ACA Preventive Drug List for Individual Under 65 members and Group members on the Enhanced and Essential formularies
- View the 2020 ACA Preventive Drug List for Group members on the NetResults formulary
Log in to BlueConnectNC.com to view your formulary’s name.
Preventive drugs1 are covered under all prescription drug plans. However, some plans with Health Savings Accounts (HSA)2 provide additional preventive coverage of drugs for certain chronic conditions.
Effective January 1, 2021, the HSA preventive benefit enhancement is available on specific high-deductible health plans. This benefit waives the deductible for preventive drugs for certain chronic conditions.
See below for the current list of drugs available under this benefit:
- View the 2021 HSA Preventive Drug List for Individual Under 65 members and Fully Insured Group members who have an HSA
- ASO groups have the option to elect this benefit
- View the 2020 HSA Preventive Drug List for Individual Under 65 members and Fully Insured Group members who have an HSA
- ASO groups have the option to elect this benefit
The drug lists on this page are subject to change and will be updated on a periodic basis.
Learn more about other preventive care services.