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As a result of the Affordable Care Act, certain preventative screenings and vaccinations are now covered under most insurance plans with no out-of-pocket cost to the patient. However, some services that used to be free may now be subject to a small co-pay or deductible. For example, a pap smear, which is used to screen for cervical cancer, was previously covered with no out-of-pocket cost. Now, many insurance plans charge a small copay for this service. The reason for this change is that the Affordable Care Act requires insurance plans to cover a larger range of preventive services than they did in the past. As a result, some services that were previously free may now be subject to a small charge.