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When should you have a mammography? When and what kind of immunizations should your children have? There are lots of preventive measures that you can take to lead a healthier lifestyle. The most important resource you have for health information is your physician. However, listed below are supplemental preventive guidelines recommended by the U.S. Preventive Task Force for children, adolescents and adults. These are recommendations only and not the provision of medical care. Please consult your doctor for the appropriate schedule of preventive care to meet your personal needs. Also, please consult your health benefit plan booklet to determine coverage limits or restrictions on preventive care services.
Click the following link to download a PDF version of the following Preventive Guidelines chart:
Preventive Guidelines Chart (636k)
| |
Gender |
Ages 18-39 |
Ages 40-49 |
Ages 50-64 |
Ages 65+ |
| PREVENTIVE MEDICINE |
| Lipid screen |
Men & Women |
every 5 years, or more frequently, based on risk |
| Blood Pressure |
Men & Women |
yearly |
yearly |
yearly |
yearly |
| Height and Weight |
Men & Women |
every 1-3 years |
every 1-3 years |
every 1-3 years |
yearly |
| Hearing and Vision |
Men & Women |
|
|
yearly |
yearly |
| Stool for Occult Blood |
Men & Women |
|
|
yearly |
yearly |
| Testicular Self-Exam (TSE) |
Men |
yearly |
yearly |
yearly |
yearly |
| Clinical Prostate Exam / PSA |
Men |
|
based on risk |
yearly |
yearly |
| Clinical Breast Exam / Teach Breast Self-Exam (BSE) |
Women |
every 1-3 years |
yearly |
yearly |
yearly |
| Mammogram |
Women |
baseline (35-39) |
every 1-2 years |
yearly |
yearly |
| Pap Test |
Women |
every 1-3 years |
every 1-3 years |
every 1-3 years |
every 1-3 years |
| Osteoporosis Screening |
Women |
|
based on risk |
based on risk |
every 2+ years |
| Chlamydia Screen |
Women |
yearly* |
|
|
|
| Fasting Plasma Glucose |
Men & Women |
every 3 years |
every 1-3 years |
every 1-3 years |
every 1-3 years |
| Dental |
Men & Women |
yearly |
yearly |
yearly |
yearly |
* Chlamydia Screening: at least annually for all sexually active women age 25 and younger, or if at increased risk for infection, regardless of age.
| IMMUNIZATIONS |
| Tetanus / Diphtheria Immunization |
Men & Women |
every 10 years, after primary series |
| Influenza Immunization |
Men & Women |
yearly, based on risk |
yearly |
yearly |
| Pneumococcal Immunization |
Men & Women |
based on risk |
age 66 |
| AT-RISK INTERVENTIONS |
| Flexible Sigmoidoscopy or |
Men & Women |
|
|
every 3-5 years |
every 3-5 years |
| Colonoscopy |
Men & Women |
|
|
every 10 years |
every 10 years |
| Tuberculosis (TB) Skin Test |
Men & Women |
based on risk |
|
|
|
Provide guidance / counseling on topics such as smoking, alcohol and drugs, sexual behavior, AIDS, nutrition, physical activity, violence and firearms safety, family planning, injuries, obesity, occupational health, osteoporosis, vitamin supplements (women 12 to 45), aspirin and hormone replacement therapy (women 45+).
These suggested guidelines are intended for healthy low-risk individuals and are not intended to replace clinical judgment. All benefit plans may not cover these services.
| |
Months |
Years |
| |
Birth |
1 |
2 |
4 |
6 |
12 |
15 |
18 |
24 |
3-6 |
6-9 |
10-13 |
14-17 |
| PREVENTIVE MEDICINE |
| Physical Exam |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
Yearly |
Yearly |
| Plotted Height and Weight |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
X |
Yearly |
Yearly |
| Head Circumference |
X |
X |
X |
X |
X |
X |
X |
X |
X |
|
|
|
|
| Blood Pressure |
|
|
|
|
|
|
|
|
|
X |
X |
Yearly |
Yearly |
| Vision and Hearing |
X |
At every well-child visit |
X |
X |
X |
X |
| Hereditary and Metabolic Screen |
X |
|
|
|
|
|
|
|
|
|
|
|
|
| Scoliosis Screening |
|
|
|
|
|
|
|
|
|
|
Yearly |
Yearly |
Yearly |
| Hematocrit / Hemoglobin |
|
|
|
|
X |
Based on risk |
X |
X |
|
| Urine Testing |
|
|
|
|
|
|
|
|
|
X |
X |
X |
X |
| Teach TSE or BSE** |
|
|
|
|
|
|
|
|
|
|
|
|
Yearly |
| IMMUNIZATIONS |
| Hepatitis B |
Hep B-1/Hep B-2 |
Hep B-3 |
|
|
|
Hep B 1-3 if no previous immunity |
| H. influenzae type b |
|
|
4 Hib |
|
|
|
|
| Diphtheria, Tetanus, Pertussis |
|
|
4 DtaP |
|
DtaP-5 |
|
Td |
| Polio, inactivated (IPV) |
|
|
3 IPV |
IPV-4 |
|
|
|
| Measles, Mumps, Rubella |
|
|
|
|
|
MMR-1 |
|
MMR-2 |
or |
MMR-2 |
|
| Varicella (or dx. of chickenpox) |
|
|
Var |
or Var if no previous immunity |
|
| Influenza |
Yearly, based on risk |
| Pneumococcal Conjugate (PCV) or Pneumococcal Polysaccharide (PPV) |
PCV1 |
PCV2 |
PCV3 |
PCV4 |
PPV based on risk |
| AT-RISK INTERVENTIONS |
| Tuberculosis (TB) Testing |
Starting at 12 months, based on risk. |
| Lead Screening |
Between 6 - 12 months and at 24 months; any child between 12 and 72 months (6 years) without documented blood lead test. |
| Cholesterol Screening |
Starting at 24 months, based on risk. |
| Anticipatory guidance for all patients |
Age appropriate: development, nutrition, oral health, physical activity, tobacco avoidance/cessation, injuries and poisons, sun exposure/sun screen, alcohol, drugs, firearm safety, coping skills/stress reduction, AIDS, sexual behavior, and family planning. |
| STD Screening / Pregnancy Prevention |
All sexually active patients should be screened for sexually transmitted diseases (STDs)/pregnancy prevention. |
| Pelvic Exam |
All sexually active females should have a pelvic examination and Pap test. |
These suggested guidelines are intended for healthy low-risk individuals and are not intended to replace clinical judgment. All benefit plans may not cover these services.
**Testicular self-examination; breast self examination
Reference: Guide to Clinical Preventive Services, 2005. Recommendations of the U.S. Preventive Services Task Force, (www.preventiveservices.ahrq.gov.), American Academy of Family Physicians (www.aafp.org), American Academy of Pediatrics (www.aap.org), Centers for Disease Control and Prevention (www.cdc.gov), American Heart Association (www.americanheart.org).
National Capital Preferred Provider Organization, Inc. ("NCPPO") is a Maryland corporation. NCPPO is an organizer of provider networks, which it makes available by contract to a variety of payors of health benefits. NCPPO is not an insurance company and has no liability for benefits under benefit plans offered or administered by payors. NCPPO and its affiliate and parent companies are not responsible for, and do not control or have a right to control, the medical judgment of the network providers. |