Preventive Care Coverage: Adults

Adult wellness visits — also called preventive care — are included benefits in most Group Health Cooperative and Group Health Options, Inc. plans. Preventive care coverage varies by plan.

Screening Schedules Immunization Schedules
AGES 18 to 21 Wellness visit every year

For women:
First Pap test 3 years after becoming sexually active or by age 21, whichever comes first

Chlamydia test every year for sexually active women up to age 25*

For men:
No routine screenings recommended for men in this age group.

Tetanus-diphtheria every 10 years**

Flu vaccine every year

AGES 22 to 49 Wellness visit at least once every 4 years

For everyone:
Blood pressure check every 2 years

For women:
Pap test every 2-3 years

Chlamydia test every year for sexually active women up to age 25*

Mammogram every 1 or 2 years, based on risk factors or personal choice, beginning at age 40

Cholesterol check every 5 years, beginning at age 45

For men:
Cholesterol check every 5 years, beginning at age 35

Tetanus-diphtheria every 10 years**

Flu vaccine every year

AGES 50 to 64 Wellness visit every 2 years

For everyone:
Cholesterol check every 5 years

Blood pressure check every 2 years

Colon cancer screening: talk with your doctor about the best method for you

For women:
Pap test every 2-3 years

Mammogram every 1 or 2 years based on risk for breast cancer or personal choice

For men:
Discuss prostate cancer screening with your health care provider

Tetanus-diphtheria every 10 years**

Flu vaccine every year

Shingles vaccine once in a lifetime for ages 60 and over (not for persons who are immune suppressed)

AGES 65+: Wellness visit every year

For everyone:
Blood pressure check every 2 years

Cholesterol check every 5 years through age 74; after age 75 discuss with your doctor

Vision and hearing check every 2 years

Colon cancer screening: talk with your doctor about the best method for you. 75 and older; regular screening isn't generally recommended. If you wish to continue screening, talk with your doctor

For women:
Mammogram every 1-2 years according to risk for breast cancer; women aged 75 and older; discuss optional screening with your doctor

Bone density test (DXA): recommended for women aged 65 and older

For men:
Discuss prostate cancer screening with your health care provider

Abdominal aortic aneurysm screening: One-time screening for men 65 to 75 who have ever smoked cigarettes

Tetanus-diphtheria every 10 years**

Pneumococcal vaccine one time for ages 65 and over

Flu vaccine every year

Shingles vaccine once in a lifetime for ages 60 and over (not for persons who are immune suppressed)

*Women aged 25 and older who are at high risk for having a sexually transmitted disease (STD) also should be screened. Ask your doctor what screening schedule is best for you. If you're pregnant, talk to your doctor about the need for chlamydia testing

**Once in a lifetime, everyone 11 years of age and older should get a tetanus-diphtheria (Td) booster that contains pertussis (Tdap)


Clinical review by:
Travis Abbott, MD
Group Health
Reviewed 01/06/2011