Preventive Care

Annual total skin exam at discretion of clinician

• Annual clinical breast exam and monthly self-exam

• Annual mammogram at discretion of clinician

Initial Pap test at three years after first sexual intercourse, or by age 21 Pap test every 1-3 years, depending on risk factors

Testicular and Prostate Cancer (Men)

Annual digital rectal exam (DRE) or prostate-specific antigen (PSA) blood test at discretion of clinician

At discretion of clinician (can be screened annually during yearly wellness exam) Provider may take routine measurements, like height and weight. Learn more

Blood Pressure (Hypertension)

At every acute/non-acute medical encounter and at least once every two years. See how you can take control of your health and manage your blood pressure with these helpful tips.

Every five years or more often at discretion of clinician; cardiovascular screening blood tests, including blood tests for cholesterol, lipid, and triglyceride levels. 

Diabetes (Type 2)

If your doctor determines you’re at risk for diabetes or you’re diagnosed with pre-diabetes, you may be eligible for up to 2 screenings each year. Learn more

Bone Mineral Density (BMD)

Once every 24 months (or more often if medically necessary) if you meet one of more of these conditions:

• You’re a woman whose doctor determines you’re estrogen deficient and at risk for osteoporosis, based on your medical history and other findings.
• Your X-rays show possible osteoporosis, osteopenia, or vertebral fractures.
• You’re taking prednisone or steroid-type drugs or are planning to begin this treatment.
• You’ve been diagnosed with primary hyperparathyroidism.
• You’re being monitored to see if your osteoporosis drug therapy is working.

Sexually Transmitted Infections (Chlamydia, Gonorrhea, Syphilis, and HPV)

Medicare covers sexually transmitted infection (STI) screenings for chlamydia, gonorrhea, syphilis, and/or Hepatitis B if you’re at an increased risk for an STI. Learn more 

Eye Exam for Glaucoma

Every 1-2 years

Hearing and Vision Assessment

At discretion of clinician

Tetanus, Diphtheria (Td)

• Three doses if not previously immunized

• Booster every 10 years; one booster during adulthood should be with the adult dTaP (tetanus booster with acellular pertussis) vaccine

Pneumococcal

Once after age 65, even if previously vaccinated

Hepatitis B

Covered under Medicare Part B for routine diagnosis 

Meningococcal (Meningitis)

One or more doses if not previously immunized, depending on risk factors and other indicators