Preventive Services by Age

Preventive services for ages 19-39

• Schedule of visits
  • Males - Every 5 years
  • Females - Every 3-5 years
• Screening
  • A thorough individual risk assessment
  • Height and weight
  • Blood pressure
  • Clinical breast examination (every 3 years starting at age 20)
  • Blood cholesterol levels
  • Pap smear (at least every 3 years after 3 consecutive annual normal results)
  • In high-risk groups, sexually transmitted disease testing
• Counseling and education
  • Limit dietary fat, general nutrition advice
  • Folic acid supplementation in women of child-bearing age
  • Tobacco cessation
  • Advance directives
  • Drinking and driving
  • Safety belts
  • Contraception and safe sexual practice
  • Physical activity
• Immunization
  • Tetanus-diphtheria booster every 10 years
  • Varicella vaccine (if you have a negative test and no history of chickenpox infection)
  • Rubella vaccine (if you have a negative test)
  • Hepatitis B vaccine (if not done previously)
  • Influenza vaccine (optional, depends on personal preference)
  • High-risk groups offered pneumococcal vaccine, influenza vaccine, and hepatitis A vaccine (Ask your doctor if you qualify for any of these.)

Preventive services for ages 40-64

• Schedule of visits
  • Males - Every 5 years
  • Females - Every 3-5 years
• Screening
  • Individual risk assessment
  • Height and weight
  • Clinical breast exam yearly
  • Blood cholesterol
  • Pap smear (up to every 3 years after 3 consecutive annual normal results)
  • Mammogram (optional 40-49, yearly 50-75)
  • Colon cancer screening
  • In high-risk groups, sexually transmitted disease testing and diabetes screening
• Counseling and education
  • Limit dietary fat, good nutrition advice
  • Tobacco cessation
  • Advance directives
  • Drinking and driving
  • Safety belts
  • Postmenopausal hormone replacement therapy
  • Physical activity
• Immunizations
  • Tetanus-diphtheria booster every 10 years
  • Influenza vaccine (optional)
  • In high-risk groups hepatitis A and B vaccines, pneumococcal vaccine, influenza vaccine, rubella vaccine, and Lyme disease vaccine may be recommended
• Preventive medications
  • Daily aspirin for people with risk factors for or established heart disease
    

Preventive services for ages 65 and over

• Schedule of visits
  • Every 1-2 years
    
• Screening
  • Individual risk assessment
  • Review of medications
  • Height and weight
  • Blood pressure
  • Clinical breast examination
  • Blood cholesterol
  • Colon cancer screening
  • Pap smear (may be performed at the mutual consent of the woman and doctor after age 65)
  • Annual mammogram until age 75
  • Vision testing after age 74
  • Hearing testing after age 74
• Counseling and education
  • Limit dietary fat, good nutrition advice
  • Drinking and driving
  • Safety belts
  • Postmenopausal hormone replacement therapy
  • Physical activity
• Immunization
  • Tetanus-diphtheria booster every 10 years
  • Annual influenza vaccine
  • Pneumococcal vaccine
  • In high-risk groups hepatitis A and B vaccines, Lyme disease vaccine
• Preventive medication
  • Daily aspirin in people with risk factors for or established heart disease