Preventive Care

  • In order to effectively evaluate your health, your healthcare provider will probably ask about your sexual history and practices. We hope you find your doctor's office to be a safe, non-judgmental place where you can answer honestly and ask your own questions. If your doctor exceeds your expectations or doesn't, please let us know by leaving feedback on Find a Doctor.

    It's important to get the preventive care recommended for the sex you were born with unless your doctor suggests otherwise.

    Sex: Female

    Two preventive exams per year are covered at 100 percent on most health plans. Your doctor will recommend any tests or specific care. Keep in mind that if your provider performs tests based on signs or symptoms, your visit could be billed as diagnostic rather than preventive care, which means you could be charged for additional services.

    Even if reproduction isn't on your mind, it's important to get checked out because women who are sexually active with other women are at an increased risk for some sexually transmitted diseases and breast cancer. These can be caught early with regular preventive tests.

    To protect from STDs, contraception, including barrier methods, is covered for women with a prescription from your doctor.

    See more information on women's health.

    Sex: Male

    We recommend finding a primary care provider and seeing them every year. Your doctor is your link to preventive care as well as specialty care. On most health plans, you are covered for two preventive appointments per year with an in-network provider. If you present with signs or symptoms, your appointment could be charged as diagnostic, which is subject to copay and deductible.

    At your yearly checkup, you'll likely be asked about sexual preferences. This is important in ensuring you get proper care. Men who are sexually active with men are at increased risk of sexually transmitted diseases and infections, such as hepatitis. Of course, risk goes up or down based on many factors, such as number of partners.

    While the nation's rate of HIV and AIDS infection is going down, gay men are at increased risk compared to heterosexual men. If you believe you've been exposed, see your doctor immediately. Your doctor might recommend post-exposure prophylaxis (PEP), which means taking antiretroviral medications after potentially being exposed. 

    At your checkup, your doctor will likely screen you for prostate and testicular cancer. He or she will also recommend vaccines.

    If you haven't been, consider getting vaccinated against human papilloma virus, which can lead to anal cancer. Most Premera health plans cover the vaccine at 100 percent for males beginning at age 10. It's recommended you get it as early as possible. Your doctor might recommend an anal pap smear. This is not covered as preventive, therefore is subject to copay and deductible.


    Back to LGBT health overview


  • 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.