- Health Information + Tools
- Behavioral Health + Substance Use Disorder
- Digital Tools
- Immediate Care
- Preventive Care
- Understanding + Choosing Quality Health Care
- Unlock a Healthier You
- Well Member Update
Schedule Your Adult Preventive 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.
|Periodic Health Evaluations||Ages 18 - 21: Annually.
Ages 22 - 49: Every 1-3 years, depending on risk factors.
Ages 50+: Annually.
|Blood Pressure||Ages 18+: At every medical visit.|
|Cholesterol||Ages 18+: Talk with your doctor about the frequency of screening.|
|Diabetes (Type 2)||Ages 18 - 44: Screenings recommended if risk factors are present.
Ages 45+: Screenings recommended every 3 years.
|Sexually Transmitted Infections||Discuss screening for chlamydia, gonorrhea, syphilis, and HPV with your doctor.
Talk to your doctor about the HPV vaccination schedule (through age 26.)
|Skin Exams||Ages 18+: Routinely during physical exams.|
|Cervical Cancer (Pelvic Exam and Pap Test)||Ages 18 - 20: 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||Ages 18 - 49: Talk with your doctor; routine screening is not recommended except for people at high risk. For high-risk patients only, use shared decision making with your doctor to discuss prostate specific antigen (PSA) screening.
Ages 50 - 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||Ages 18 - 49: Screenings recommended if at high risk.
Ages 50 - 75: Talk with your doctor about selecting the right screening test and interval for you.
Ages 75 - 85: Talk to your doctor about benefits and limitations of screenings.
Ages 86+: Screening is not recommended.
|Breast Exam and Mammogram||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||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: Massachusetts Health Quality Partners, www.mhqp.org