Adults

The Preventive Health Guidelines will help you learn more about the screenings, tests and shots that you and your family need. Information in our guidelines comes from medical expert organizations, such as the American Academy of Pediatrics, the US Department of Health and Human Services, the Advisory Committee on Immunization Practices and the Centers for Disease Control and Prevention (CDC). Talk with your doctor to make sure your family’s medical checkups and shots are up to date.

To find out if a shot, test or screening is covered under your health plan, you can check your benefits online by signing in to your account or calling Customer Service at the phone number on the back of your member ID card.

Adults

What to expect during your annual well-person exam

Your doctor may provide advice on:

  • Dental health
  • Vision health
  • Diet, exercise, nutrition, physical activity and injury prevention
  • Sun exposure
  • Quitting smoking, drug abuse, alcohol misuse and tobacco use
  • Sexual behavior, violence or abuse
  • Nutrition and vitamin supplements for women who are or plan to become pregnant.

If you are at increased risk for certain cancers, you should ask your doctor about screening schedules and possibly starting your screenings at an earlier age than general recommendations. A risk factor is anything that increases your chance of developing a condition. Examples of risk factors can include your age, gender, family history or lifestyle.

During your exam, you may receive immunizations (shots) and screenings, depending on your health and your doctor’s judgment. Select a link below to learn more about immunizations, screenings and therapies:

Immunizations:

Immunizations (shots) can help keep you healthy. Learn about the immunizations you may need.

Screenings:

  • Blood pressure measurement: Every two years for those with blood pressure less than 120/80 and yearly for those with blood pressure 120 to 139/80 to 90. Learn more about preventing high blood pressure.
  • Bone mineral density (BMD) testing: In women younger than age 65, as your doctor advises.
  • BRCA gene mutation: For women who have a family history of breast, ovarian, fallopian tube or peritoneal (the tissue that lines the walls of the abdomen) cancer. Speak with your doctor about genetic counseling and testing.
  • Breast exam, clinical: Every three years for women in their 20s and 30s. Breast self-exam is an option for women starting in their 20s. Learn more about breast self-exams.
  • Cholesterol blood test: Every five years, more frequently as your doctor advises. Learn more about cholesterol.
  • Dental checkup: Twice a year or as your doctor advises. Pregnant women should see a dentist at least one time during pregnancy. Learn more about oral health.
  • Depression screening: Periodic assessment. Learn more about depression.
  • Gestational diabetes screening: For pregnant women, after 24 weeks of pregnancy.
  • Hearing screening: Periodic assessment as your doctor advises. Learn more about hearing loss.
  • Height and weight check: Yearly.
  • Hepatitis B blood test: For those at high risk, including pregnant women at their first prenatal visit. Learn more about hepatitis B.
  • Hepatitis C blood test: For those at high risk for the infection. Learn more about hepatitis C.
  • HIV screening: All sexually active women should be screened for HIV, including all those who are pregnant, and as your doctor advises. Learn more about HIV:
  • Obesity screening: Use of body mass index (BMI) to identify adults at risk for disease and death due to being overweight (as defined by having a BMI at or above 25-29.9 kg/m2) and obese (as defined by having a BMI at or above 30 kg/m2). Learn more about preventing obesity.
  • Pelvic exam, pap test and HPV testing: Learn more about these important tests:
    • Pelvic exam: Every year.
    • Pap and HPV testing: A Pap test for women ages 21–29 every three years. Women between 30 and 65 should have a Pap test every three years or a Pap test plus HPV testing every five years.
  • Sexually transmitted diseases (STDs) screening: All sexually active women age 25 and younger as well as older adults at risk, as part of a regular health care visit. Learn more about STDs.
  • Skin cancer screening: Should be part of a routine cancer-related checkup. Check yourself once a month. Learn more about skin cancer prevention.
  • Vision/glaucoma screening: Yearly, as needed or directed by your doctor. Check with your eye doctor for recommended frequency of a complete eye exam if there is a history of eye injury, diabetes, family history of eye problems and/or you are African American older than 40. Learn more about common eye disorders.

Therapies:

  • Aspirin therapy: As your doctor advises.
  • Hormone replacement therapy: As your doctor advises.
  • Medicines to reduce risk for breast cancer: For women at increased risk for breast cancer, speak with your doctor.

What to expect during your annual well-person exam

Your doctor may provide advice on:

  • Dental health

  • Vision health

  • Diet, exercise, nutrition, physical activity and injury prevention

  • Sun exposure

  • Smoking cessation, substance abuse, alcohol misuse and tobacco consumption

  • Sexual behavior, violence or abuse

  • Nutrition and vitamin supplements for women that are or are planning to become pregnant.

If you are at increased risk for certain cancers, you should ask your doctor about screening schedules and possibly starting your screenings at an earlier age than general recommendations. A risk factor is anything that increases your chance of developing a condition. Examples of risk factors can include your age, gender, family history or lifestyle.

During your exam, you may receive immunizations (shots) and screenings, depending on your health and your doctor’s judgment. Select a link below to learn more about immunizations, screenings and therapies:

Immunizations:

Immunizations (shots) can help keep you healthy. Learn about the immunizations you may need.

Screenings:

  • Blood pressure measurement: Every two years for those with blood pressure less than 120/80 and yearly for those with blood pressure 120 to 139/80 to 90. Learn more about preventing high blood pressure.

  • Bone mineral density (BMD) testing: In women younger than age 65, as your doctor advises.

  • BRCA gene mutation: For women who have a family history of breast, ovarian, fallopian tube or peritoneal (the tissue that lines the walls of the abdomen) cancer. Speak with your doctor about genetic counseling and testing.

  • Breast exam, clinical: Every year for women 40 and over. Learn more about breast self-exams.

  • Breast mammogram: Yearly starting at age 40. Learn more about mammograms.

  • Cholesterol blood test: Every five years; more frequently as your doctor advises. Learn more about cholesterol.

  • Colon and rectal cancer: Starting at age 50 speak with your doctor about which of the following tests are right for you:

    • Flexible sigmoidoscopy every five years.

    • Yearly fecal occult blood test (FOBT).

    • Fecal immunochemical test (FIT) every year.

    • Colonoscopy every 10 years.

  • Learn more about cancer screening.

  • Dental checkup: Twice a year or as your doctor advises. Pregnant women should see a dentist at least one time during pregnancy. Learn more about oral health:

  • Depression screening: Periodic assessment. Learn more about depression.

  • Diabetes, type 2 blood test: Starting at age 45 and repeated every three years. Learn more about diabetes.

  • Gestational diabetes screening: For pregnant women, after 24 weeks of pregnancy.

  • Hearing screening: Periodic assessment as your doctor advises. Learn more about hearing loss.

  • Height and weight check: Yearly.

  • Hepatitis B blood test: For those at high risk, including pregnant women at their first prenatal visit. Learn more about Hepatitis B.

  • Hepatitis C blood test: For those at high risk for the infection. If you were born between 1945 and 1965, speak with your doctor about a one-time screening. Learn more about hepatitis C.

  • HIV screening: All sexually active women should be screened for HIV to age 65, including all those who are pregnant, and as your doctor advises. Learn more about HIV:

  • Lung cancer screening: Starting at age 55, speak with your doctor about having an annual low-dose chest CT scan if you have a history of smoking at least a pack a day for 30 years and are still smoking or quit within the last 15 years.

  • Obesity screening: Use of body mass index (BMI) to identify adults at risk for disease and death due to being overweight (as defined by having a BMI at or above 25-29.9 kg/m2) and obese (as defined by having a BMI at or above 30 kg/m2). Learn more about preventing obesity.

  • Pelvic exam, pap test and HPV testing: Learn more about these important tests:

    • Pelvic exam: Every year.

    • Pap and HPV testing: Women between 30 and 65 should have a Pap test every three years or a Pap test plus HPV testing every five years.

  • Sexually transmitted diseases (STDs) screening: All sexually active women as well as older adults at risk, as part of a regular health care visit. Learn more about STDs.

  • Skin cancer screening: Should be part of a routine cancer-related checkup. Check yourself once a month. Learn more about skin cancer prevention.

  • Vision/glaucoma screening: Yearly, as needed or directed by your doctor. Check with your eye doctor for recommended frequency of a complete eye exam if there is a history of eye injury, diabetes, family history of eye problems and/or you are African American, older than 40. Learn more about common eye disorders.

Therapies:

  • Aspirin therapy: As your doctor advises.

  • Hormone replacement therapy: As your doctor advises.

  • Medicines to reduce risk for breast cancer: For women at increased risk for breast cancer, speak with your doctor.

What to expect during your annual well-person exam

Your doctor may provide advice on:

  • Dental health

  • Vision health

  • Diet, exercise, nutrition, physical activity and injury prevention

  • Sun exposure

  • Smoking cessation, substance abuse, alcohol misuse and tobacco consumption

  • Sexual behavior, violence or abuse

If you are at increased risk for certain cancers, you should ask your doctor about screening schedules and possibly starting your screenings at an earlier age than general recommendations. A risk factor is anything that increases your chance of developing a condition. Examples of risk factors can include your age, gender, family history or lifestyle.

During your exam, you may receive immunizations (shots) and screenings, depending on your health and your doctor’s judgment. Select a link below to learn more about immunizations, screenings and therapies:

Immunizations:

Screenings:

  • Blood pressure measurement: Every two years for those with blood pressure less than 120/80 and yearly for those with blood pressure 120 to 139/80 to 90. Learn more about preventing high blood pressure.

  • Bone mineral density (BMD) testing: In men younger than age 70, as your doctor advises.

  • Cholesterol blood test: Every five years; more frequently as your doctor advises. Learn more about cholesterol.

  • Dental checkup: Twice a year or as your doctor advises. Learn more about oral health.

  • Depression screening: Periodic assessment. Learn more about depression.

  • Diabetes, type 2 blood test: Starting at age 45 and repeated every three years. Learn more about diabetes.

  • Hearing screening: Periodic assessment as your doctor advises. Learn more about hearing loss.

  • Height and weight check: Yearly.

  • Hepatitis B blood test: For those at high risk. Learn more about hepatitis B.

  • Hepatitis C blood test: For those at high risk for the infection. Learn more about hepatitis C.

  • HIV screening: HIV screening to age 65, as your doctor advises. Learn more about HIV.

  • Obesity screening: Use of body mass index (BMI) to identify adults at risk for disease and death due to being overweight (as defined by having a BMI at or above 25-29.9 kg/m2) and obese (as defined by having a BMI at or above 30 kg/m2). Learn more about preventing obesity.

  • Prostate cancer screening: Talk to your doctor about the benefits and risks of screening. Learn more about prostate cancer.

  • Sexually transmitted diseases (STDs) screening: All sexually active men age 25 and younger as well as older adults at risk, as part of a regular health care visit. Learn more about STDs.

  • Skin cancer screening: Should be part of a routine cancer-related checkup. Check yourself once a month. Learn more about skin cancer prevention.

  • Vision/glaucoma screening: Yearly, as needed or directed by your doctor. Check with eye doctor for recommended frequency of a complete eye exam if there is a history of eye injury, diabetes, family history of eye problems and/or you are African American older than 40. Learn more about common eye disorders.

Therapies:

  • Aspirin therapy: As your doctor advises.