Teen and Adolescent Health

  • Teenage girlAs kids grow, they explore their individuality. Their health plan grows with them to support new needs and concerns.

    Privacy

    We’re committed to following Washington state law that protects the health privacy of children beginning at age 13. That means children can set up their own online member account and receive health communications via email or in their name in the U.S. mail. We also cannot share information about mental, sexual, or reproductive health of children starting at age 13, without their written consent.

    Routine care

    We want adolescents and teens to get the care they need. That means we continue to cover preventive care and vaccines.

    HPV vaccine

    The Center for Disease Control recommends that both girls and boys get the human papillomavirus (HPV) vaccine as early as age 9. It’s covered as preventive care between the ages of 9 and 26 on most health plans. The purpose is to help vaccinate against the most common viruses that can cause cervical cancer. Recommendation is for children to get vaccinated before they're sexually active.

    Young women

    Woman’s exams become important when a young woman is thinking about becoming sexually active, but might be medically necessary for other reasons, such as severe menstrual pain. The American College of Obstetricians and Gynecologists recommend pap smears every 3 years beginning at age 21.

    Read more about women’s health.

    Acne medication

    We’re committed to keeping prescription drug costs manageable for our members. Some acne medications can be very expensive, but less expensive equivalents may be available. Our pharmacy tool can help you find the right solution for you.

    Mental health, anxiety, depression

    Most health plans cover mental health services to treat conditions, including anxiety, depression, substance abuse, or addiction to the same extent physical health concerns are covered. Often the first step is to talk with a primary care provider who can recommend a mental health professional, if needed.

    Don’t hesitate to seek help for suspected depression, anxiety, or stress, self-harm, or addiction. Early intervention improves outcomes.

    Going to college

    Make sure your child still has health coverage when they step out on their own. Most plans allow young adults up to age 26 to stay on a parent’s health plan.

    Universities might require a physical exam or vaccines. These can usually be handled at a well-child (or well adult) visit. Common vaccines include the meningitis vaccine. Talk to your doctor about what is appropriate.

    Pediatricians generally see kids through end of college. Sometimes longer if the patient has extensive healthcare needs. But Premera benefits cover an adult doctor if your child is ready to move on.

    Make sure your child downloads the Premera app, so they always have their member ID card on hand.

    School clinics

    Use the find a doctor tool to see if your high school or university clinic is in network.

    Dental and vision

    Teens up to age 19 have pediatric vision and dental coverage on most Premera plans.

    Frequently asked member questions

  • Washington state law requires us to protect the health privacy of children over age 13. That means even if parents pay the plan premium and doctor bills, we are unable to discuss or display sensitive claim information (mental, sexual, or reproductive health) to parents or guardians without consent from the child. Our members over age 13 can sign an Information Release Form Give someone permission to obtain and discuss your personal and health information, including sensitive information such as substance abuse, reproductive health, and mental health. You can also authorize members on your plan to see your sensitive information on Premera.com or ConnectYourCare (medical funding account). Members 13 and older can set up their own online member account.

    Many options for FDA-approved forms of birth control are covered without age restrictions. However, not every brand is covered. Please use our drug search tool to see what is covered on your plan.

    Some acne medications can be very expensive, but less expensive equivalents are available. Sign into your account to review your options and compare costs.

    Orthodontia isn’t covered on our basic plans. Orthodontia benefits are available on some employer-sponsored plans. Check your benefits booklet for more information. Orthodontia is a qualified medical expense and health savings accounts can be used toward the cost of care.


  • Benefits under your health plan may differ, so refer to your benefit booklet for information on what your specific health plan covers.

    Your health plan covers preventive care services as required by state and federal law. For more information, please review the "A" and "B" rated services on the United States Preventive Task Force, immunizations recommended by the Centers for Disease Control and Prevention and preventive care and screening recommended by the Health Resources and Services Administration. See the list on healthcare.gov.