Here are suggested guidelines for screenings and checkups for healthy adults. There are also vaccination and immunization guidelines for children and adults on the back page. Individuals with a family history of certain diseases and those with other risk factors should discuss preventive health measures with their primary care physician. For complete benefit details, refer to your plan’s Certificate of Coverage or Summary Plan Description.

Healthy adult preventive healthcare guidelinesPhysical exam – Routinely. This exam should include measuring your weight, height and body mass index (BMI). It’s also a good time to talk to your doctor about ways to increase physical activity.

Cholesterol/lipid screening – Every five years, or more often if you’re at risk or have above-normal levels. A nine- to 12-hour fast is required. If you have cardiovascular problems or diabetes, you may need a test every year.

Diabetes screening and tests – Every three years, or more often if you’re at risk. If you have diabetes, the following exams and tests are recommended each year: HbA1c test, LDL cholesterol, kidney test and retinal or dilated eye exam.

Blood pressure – Every one to two years if normal (less than 120/80), more often if you have high blood pressure or diabetes.

Bone density screening for osteoporosis – Periodically as directed by your doctor, usually around age 65 or older. Some may need frequent screening after a bone fracture or if you’re at high risk for osteoporosis.

Eye exam – Every two to four years up to age 64 and then every one to two years. Eye exams test for glaucoma and macular degeneration – two common age-related conditions.

Colorectal cancer screenings – Talk to your doctor about your risks and which colorectal cancer screening test and schedule is best for you. For ages 50 and older, most recommend an annual fecal occult blood test, a flexible sigmoidoscopy every five years, or a colonoscopy every 10 years.

Women onlyMammogram – Every one to two years for women age 40 and older. Younger women should follow their doctor’s recommendations. Also talk to your doctor about clinical breast exams.

Pap test and pelvic exam – At least every three years or more often as directed by your doctor. Talk to your doctor about your risks and which Pap testing schedule is best, especially if you’ve had a hysterectomy or are 65 or older. only

Men onlyProstate exam – Talk to your doctor about your risks and which test and schedule is right for you. Exams include a digital rectal exam and a prostate-specific antigen test (PSA).

This material provided is a general summary and does not address all your organization’s specific issues. This material is for informational purposes only. It is not intended or written to be used, and it cannot be used, as legal advice or a legal opinion. It should not be relied upon in lieu of consultation with your own legal advisors. Insurance and tax laws and interpretations of those laws are complex and subject to change. None of the information herein is intended or written to be used, and it cannot be used, for the purpose of avoiding taxes or penalties that may be imposed.

Preventive Health Guide

Preventive care keeps you healthy, prevents illness and detects disease in the early stages – when it’s easier to treat.

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Recommended for all

Recommended for members with a high risk factor

AGE

VACCINE Birth 1 mos 2 mos 4 mos 6 mos 9 mos 12 mos 15 mos 18 mos 19-23 mos 2-3 yrs 4-6 yrs

Hepatitis B 1 dose 1 dose 1 dose

Rotavirus (RV) 1 dose 1 dose 1 dose as needed

Tetanus, diphtheria, pertussis (DTaP) 1 dose 1 dose 1 dose 1 dose 1 dose

Haemophilus influenzae type b (Hib) 1 dose 1 dose 1 dose as needed 1 dose

Pneumococcal 1 dose 1 dose 1 dose 1 dose 1 dose

Inactivated polio virus 1 dose 1 dose 1 dose 1 dose

Influenza 1-2 doses yearly

Measles, mumps, rubella (MMR) 1 dose 1 dose

Varicella (chicken pox) 1 dose 1 dose

Hepatitis A 2 doses 2 doses

Meningococcal 1 dose

Child

Keep a record of your immunizations and give your healthcare providers a copy. Talk to your doctor about your risk for infection and which immunizations you may need.

AGE

VACCINE 7-10 years 11-12 years 13-18 years

Tetanus, d iphtheria, pertusis (Td/Tdap) 1 Tdap dose if needed to catch up 1 dose 1 Tdap dose if needed to catch up

Human papillomavirus (HPV) 3 doses 3 doses if not completed

Meningococcal 1 dose 1 dose Booster at 16 or 1 dose if not previously vaccinated

Influenza 1 dose yearly

Pneumococcal 1 dose

Hepatitis A 2 doses

Adolescent

Older children should receive Hepatitis B, polio, MMR, and chicken pox if not vaccinated or if they did not receive all recommended doses as a child.

AGE

VACCINE 19-26 years 27-54 years 55-59 years 60-64 years 65 years and up

Tetanus, diphtheria, pertussis (Td/Tdap) Boost with TD every 10 years, substitute 1 time dose of Tdap if not previously vaccinated 1 Td booster every 10 years

Human papillomavirus (HPV) 3 doses if series not completed

Varicella (chicken pox) 2 doses if no chickenpox history or not vaccinated

Zoster (shingles) 1 dose

Measles, mumps, rubella (MMR) 1-2 doses if no history of the vaccine or disease 1 dose

Influenza 1 dose yearly

Pneumococcal (polysaccharide) 1 or 2 doses (for smokers and those with certain chronic conditions) 1 dose

Hepatitis A 2 doses

Hepatitis B 3 doses

Meningococcal 1 or more doses

Adult

Adult high risk can be caused by medical, occupational, lifestyle, or other indications. Source: Centers for Disease Control and Prevention. Immunization Schedules. Retrieved Feb. 27, 2013 from http://www.cdc.gov/vaccines/recs/

Vaccination/immunization guidelines

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