mbraun benefits summary-Updated 8-19

Wellness exams

SERVICE

GROUP AGE, FREQUENCY

Well-baby/well-child/well-person exams, including annual well-woman exam (includes height, weight, head circumference, BMI, blood pressure, history, anticipatory guidance, education regarding risk reduction, psychosocial/behavioral assessment)

• Birth, 1, 2, 4, 6, 9, 12, 15, 18, 24 and 30 months • Additional visit at 2–4 days for infants discharged less than 48 hours after delivery • Ages 3 to 21, once a year • Ages 22 and older, periodic visits as doctor advises

Routine immunizations covered under preventive care

SERVICE

SERVICE

Diphtheria, Tetanus Toxoids and Acellular Pertussis (DTaP, Tdap, Td)

Meningococcal (meningitis) Pneumococcal (pneumonia)

Haemophilus influenzae type b conjugate (Hib)

Hepatitis A (Hep A) Hepatitis B (Hep B)

Poliovirus (IPV) Rotavirus (RV)

Varicella (chickenpox)

Human papillomavirus (HPV) (age criteria may apply for some vaccine brands)

Influenza vaccine

Zoster (shingles)

Measles, mumps and rubella (MMR)

You may view the immunization schedules on the CDC website: cdc.gov/vaccines/schedules/ .

Health screenings and interventions

SERVICE

GROUP AGE, FREQUENCY

Abnormal blood glucose and type 2 diabetes screening/counseling

Adults ages 40–70 who are overweight or obese; women with a history of gestational diabetes mellitus

Alcohol misuse/substance abuse screening

All adults; adolescents age 11–21

Aspirin to prevent cardiovascular disease and colorectal cancer, or to reduce risk for preeclampsia 1

Adults ages 50–59 with risk factors; Pregnant women at risk for preeclampsia

Autism screening

18, 24 months

Bacteriuria screening

Pregnant women

Bilirubin screening (effective on or after 1/1/18 as plans renew)

Newborns before discharge from hospital

Breast cancer screening (mammogram)

Women ages 40 and older, every 1–2 years

Breast-feeding support/counseling, supplies 2

During pregnancy and after birth

Cervical cancer screening (Pap test) HPV DNA test alone or with Pap test

Women ages 21–65, every 3 years Women ages 30–65, every 5 years

Chlamydia screening

Sexually active women ages 24 and under and older women at risk

Cholesterol/lipid disorders screening 1

• Screening of children and adolescents ages 9–11 years and 17–21 years; children and adolescents with risk factors, ages 2–8 and 12–16 years • All adults ages 40–75 The following tests will be covered for a colorectal cancer screening, ages 50 and older: • Fecal occult blood test (FOBT) or fecal immunochemical test (FIT) annually • Flexible sigmoidoscopy every 5 years • Double-contrast barium enema (DCBE) every 5 years • Colonoscopy every 10 years • Computed tomographic colonography (CTC)/virtual colonoscopy every 5 years - Requires prior authorization • Stool-based deoxyribonucleic acid (DNA) test (i.e., Cologuard) every 3 years

Colon cancer screening 1

Congenital hypothyroidism screening

Newborns

Critical congenital heart disease screening

Newborns before discharge from hospital

= Men

= Women

= Children/adolescents

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