At a glance
The Affordable Care Act (ACA) includes several provisions aimed at improving coverage of, and access to, certain viral hepatitis preventive health services. These services and the health insurance plans that cover them without cost-sharing are summarized here in these Preventive Services Coverage Tables.
Hepatitis A: vaccination
| Recommending Authority | Eligible Populations and Service Specifics | Plans That Cover Without Cost-Sharing |
|---|---|---|
| ACIP (May 2006 and February 2019) | Routine vaccination is recommended for the following groups for hepatitis A (HAV) immunization: children, persons who are at increased risk for infection, all persons experiencing homelessness, and any person wishing to obtain immunity.1,2
(See Prevention of hepatitis A through active or passive immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) - PubMed (nih.gov) and MMWR: Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Persons Experiencing Homelessness for additional information.) |
Non-grandfathered private health insurance plans Medicaid expansion plans Traditional Medicaid plans* |
| ACIP (November 2018) |
Hepatitis A vaccine for postexposure prophylaxis is recommended to all persons aged ≥12 months. Hepatitis A vaccine for preexposure prophylaxis is recommended for unvaccinated persons traveling to or working in countries that have high or intermediate HAV endemicity.3 (See MMWR: Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Postexposure Prophylaxis and for Preexposure Prophylaxis for International Travel for additional information.) |
Non-grandfathered private health insurance plans Medicaid expansion plans Traditional Medicaid plans* |
*Optional for adults, depending on state policy; however, preventive services for children are often covered as part of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit for children.
Hepatitis B: vaccination
| Recommending Authority | Eligible Populations and Service Specifics | Plans That Cover Without Cost-Sharing |
|---|---|---|
| ACIP (January 2018) | Vaccinate the following populations for hepatitis B (HBV):
|
Non-grandfathered private health insurance plans Medicaid expansion plans Traditional Medicaid plans* |
^See MMWR Box 4 for specific information on persons at risk for hepatitis B.
*Optional for adults, depending on state policy; however, preventive services for children are often covered as part of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit for children.
Hepatitis B: testing
| Recommending Authority | Eligible Populations and Service Specifics | Plans That Cover Without Cost-Sharing |
|---|---|---|
| USPSTF (Grade “A”; July 2019) | Screen pregnant women for hepatitis B virus infection at their first prenatal visit.6
(See Hepatitis B Virus Infection in Pregnant Women: Screening for additional information.) |
Non-grandfathered private health insurance plans Medicaid expansion plans Traditional Medicaid plans* |
| USPSTF (Grade “B”; December 2020) |
(See Hepatitis B Virus Infection: Screening, 2020 for additional information.) |
Non-grandfathered private health insurance plans Medicaid expansion plans Traditional Medicaid plans* |
*Optional for adults, depending on state policy; however, preventive services for children are often covered as part of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit for children.
Hepatitis C: testing
| Recommending Authority | Eligible Populations and Service Specifics | Plans That Cover Without Cost-Sharing |
|---|---|---|
| USPSTF (Grade “B”; March 2020) | Screen for hepatitis C virus infection in adults ages 18 to 79 years.7
(See Hepatitis C Virus Infection in Adolescents and Adults: Screening for additional information.) |
Non-grandfathered private health insurance plans Medicare Medicaid expansion plans Traditional Medicaid plans* |
*Optional for adults, depending on state policy; however, preventive services for children are often covered as part of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit for children.
- Prevention of Hepatitis A Through Active or Passive Immunization. Centers for Disease Control and Prevention. MMWR 2006; 55(RR07);1-23.
- Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Persons Experiencing Homelessness. Centers for Disease Control and Prevention. MMWR 2019; 68:153–156.
- Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Postexposure Prophylaxis and for Preexposure Prophylaxis for International Travel. Centers for Disease Control and Prevention. MMWR 2018; 67:1216–1220.
- Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices. Centers for Disease Control and Prevention. MMWR 2018 (RR-1): 1–31.
- Recommendations of the Advisory Committee on Immunization Practices for Use of a Hepatitis B Vaccine with a Novel Adjuvant. Centers for Disease Control and Prevention. MMWR 2018; 67:455–458.
- Hepatitis B Virus Infection in Pregnant Women: Screening; U.S. Preventive Services Task Force. July 2019.
- Hepatitis C Virus Infection in Adolescents and Adults: Screening; U.S. Preventive Services Task Force. March 2020.
- Hepatitis B Virus Infection: Screening, 2014; U.S. Preventive Services Task Force. December 2020.