Preventive Health Screenings

Talk to your doctor about these adult health screenings

Do you want to make a small investment in time that could help you stay healthy in the years ahead? Make an appointment with your health care provider to get the preventive care you need. This includes periodic checkups, tests and screenings. The screenings you need depend on your age, gender, family history and any risk factors you may have.

Screening frequency based on gender and age

Periodic Health Evaluations

Gender: Men + Women
Talk to your doctor about the right interval of screening for you based on your age and potential risk factors.

Blood Pressure

Gender: Men + Women
Ages 18+: At every medical visit.

Cholesterol

Gender: Men + Women
Ages 18+: Talk with your doctor about the frequency of screening.

Diabetes (Type 2)

Gender: Men + Women
Ages < 40: Consider screening after talking with your doctor about characteristics that put you at higher risk.
Ages 40 - 70: Screenings recommended if risk factors present (i.e., overweight and obesity).

Sexually Transmitted Infections

Gender: Men + Women
Discuss screening for chlamydia, gonorrhea, syphilis, HIV, and HPV with your doctor.
Talk to your doctor about the HPV vaccination schedule (through age 26.)

Skin Exams

Gender: Men + Women
Ages 18+:  Discuss screening with your doctor.

Cervical Cancer (Pelvic Exam and Pap Test)

Gender: Women
Ages 18+: Discuss with your doctor.
Ages 21-29: Every 3 years.
Ages 30-65: Every 3 years, depending on risk factors. Talk with your doctor about the option of screening with a combination of Pap and HPV testing every 5 years.
Ages 65+: Discuss benefits of continued screening with your doctor.

Prostate Cancer

Gender: Men
Ages 55-69: Talk with your doctor; screening with the PSA test is generally not recommended but may be an option after shared decision making with your doctor. This should include a clear explanation and understanding of the benefits and harms of the PSA test.
Ages 70+: Screenings are not recommended.

Colorectal Cancer

Gender: Men + Women
Ages 18-49: Discuss screening with your doctor.
Ages 50-75: Talk with your doctor about selecting the right screening test and interval for you.
Ages 76-85: Talk to your doctor about benefits and limitations of screenings.

Breast Exam and Mammogram

Gender: Women
Age 18+: Consider a clinical breast exam at every periodic health evaluation.  Discuss the benefits and limitations of self-examinations with your doctor.
Ages 18-39: If you are at high risk, talk to your doctor about the risks and benefits of a mammogram or other screening tests.
Ages 40-49: Talk with your doctor about the risks and benefits of a mammogram every 2 years.
Ages 50-74: Mammogram every 2 years or more frequently as recommended by your doctor based on risk factors and shared decision making.
Ages 75+: Talk to your doctor to see if mammograms are recommended.

Osteoporosis

Gender: Women
Ages 65+: Talk to your doctor about a BMD test if not previously tested.

A note about coverage

On most plans, preventive care is covered in full. This means that you pay no copayment, coinsurance, or deductible for preventive care. You may receive non-preventive services during a routine visit that do require a copayment, coinsurance or deductible. If you have any questions, regarding whether a specific service is considered preventive, please check your benefit document or call Member Services at the number listed on your member ID card.

Disclaimer: These preventive care recommendations should be discussed with your doctor who can advise on what frequency of screening is needed based on your medical and family history.
Source: US Preventive Services Task Force, https://www.uspreventiveservicestaskforce.org/