Adult Preventive Guidelines

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Needed
History & Physical, Weight & BMI
 Every year along with risk factor counseling/discussion, such as: diabetes, depression, alcohol misuse, substance abuse, healthy diet & aspirin use.
Blood Pressure
 Check at least annually & at every visit (more often if your BP is high)
Cholesterol, Triglyceride, HDL/LDL
 Starting at age 20, check at least every 5 years (check more often if cholesterol is high)
Colon Cancer Screening

Stool sample every year beginning at age 50.

Starting at age 50, get a colonoscopy every 10 years (more often if you are high risk)
Eyes Exam
 40-65 years: Every 2-4 years. Over 65 years: Every 1-2 years.
Immunizations:

Flu influenza) Vaccine

Tetanus/Diphtheria/Pertussis (Tdap)

Hepatitis B


Pneumovax (pneumonia)



Zostavax

HPV (Human Papillomavirus             Immunization)


Every year for all members 6 months and older.

Every 10 years (may need booster after injury) [If pregnant or age 65 & older, get Tetanus (Td)]

Certain job classifications (healthcare, police, fire, etc) & high risk should be vaccinated–check with your PCP.

19-64 years of age: if you have any chronic disease or smoke. 1 time revaccination will be needed.
Over 65 years of age: 1 immunization. If received immunization prior to age 65, will need second vaccine at least 5 years after last immunization.

at age 60 & older: 1 dose

All members 9 – 26 years of age: 3-dose series (first dose must be started by 26 years, 6 months and last dose prior to 27th birthday)

Skin

Check yourself for any spots, sores, and moles (call your PCP if you’re not sure)

Dental

Get an exam & cleaning every 6 months.

HIV Screening

All members 13 – 64 years should be voluntarily screened

For Women Only

Breast Cancer Screening:

Mammogram

Every year starting at age 40 - earlier if you are high risk for breast cancer (check w/your PCP to see if you are high risk)

BRCA testing for those at risk * see USPSTF Guidelines (Check w/PCP)

Cervical Cancer Screening:

Pap Test

Age 21 – 30 should be screened every two years or younger if high risk

After age 30, may be screened every three years – check with your doctor

Not indicated if hysterectomy & no cervix, unless it was for cancer

Stop at age 65 – 70, unless increased risk, check with your doctor

Chlamydia Screening
Annual screening for all sexually active women age 24 & younger
Bone Density Screening for Osteoporosis

Starting at age 65 for all postmenopausal women; follow-up every 2 yrs

Screen before age 65, if at risk for Osteoporosis (check with your PCP to see if you are high risk)

Prenatal care

Routine prenatal & postnatal care, labs, immunizations & counseling, including breastfeeding, as determined by your PCP or OB/GYN
For Men Only
Prostate Cancer Screening Discuss the risks and potential benefits of screening with your PCP.
Testicular Self-exam Once a month (call your PCP if you're not sure)
Screening for Abdominal Aortic Aneurysms (AAA) Age 65-75: 1 time screening if you have smoked at least 100 cigarettes in your lifetime