2023 ADULT PREVENTIVE SERVICE RECOMMENDATIONS¹ THIS CHART IS INTENDED AS A REFERENCE TOOL FOR YOUR CONVENIENCE. AGE 21-39 40-49 50-64 65 or older PREVENTION/SCREENING One time screening by ABDOMINAL AORTIC ANEURYSM SCREENING ultrasonography in men ages 65-75 who have ever smoked BREAST CANCER SCREENING As recommended Screening mammography, every year, for by your health care women age 40 years and older, with or without (BRCA²; MEDICATION³) provider* clinical breast examination Cytology (Pap smear) every 3 years women ages 21 – 65 or As recommended CERVICAL CANCER SCREENING by your health care Ages 30 – 65 years who want to lengthen the interval, screening with a provider* combination of cytology & human papillomavirus (HPV) testing every 5 yrs. Men ages 20 – 35 for lipid disorders if they are at increased risk for CHOLESTEROL ABNORMALITIES SCREENING: MEN coronary heart disease Men ages 35 and older for lipid disorders Women ages 30 – 45 years for lipid disorders if they CHOLESTEROL ABNORMALITIES are at increased risk for coronary heart disease SCREENING: WOMEN Women age 45 years and older for lipid disorders As recommended by your Adults beginning at age 45, fecal occult blood COLORECTAL CANCER SCREENING testing annually, sigmoidoscopy every 5 years, or health care provider* colonoscopy every 10 years DIABETES SCREENING Beginning at age 45 (If you have high blood pressure or high cholesterol, are overweight, or have a close family history of diabetes, you should consider an earlier screening.) HEPATITIS C SCREENING Adults age 18 – 79 without known liver disease, a one-time screening for hepatitis C virus (HCV) 4 IMMUNIZATIONS Refer to the CDC’s posted schedule of immunizations LUNG CANCER SCREENING Annual screening with low-dose computed Screening should be discontinued once a person has not tomography in adults age 50 – 80 years who have a smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or 20 pack-year smoking history and currently smoke or have quit within the past 15 years. willingness to have curative lung surgery OSTEOPOROSIS SCREENING Bone density in younger women whose fracture risk is equal to or greater than Bone density for women that of a 65 year old white woman who has no additional risk factors. age 65 years or older WELLNESS OFFICE VISIT: PHYSICAL EXAM, BLOOD PRESSURE, BODY MASS INDEX (BMI) Annually * High Risk: There is no age limit for screening if you are at high risk: Colon cancer: If you or a close relative had colorectal polyps or colorectal cancer or if you have in昀氀ammatory bowel disease. Breast cancer: This might include women who carry genes that increase their risk of breast cancer, such as the “BRCA” genes or who have close relatives who were diagnosed with breast cancer at a young age. ¹ https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics (current as of June 2022) ² BRCA risk assessment and genetic counseling/testing: Screen women whose family history may be associated with an increased risk for potentially harmful BRCA mutations. Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing. ³ Breast cancer preventive medications: Asymptomatic women aged ≥35 years without a prior diagnosis of breast cancer who are at increased risk for the disease. Clinicians engage in shared, informed decision making with women who are at increased risk for breast cancer about medications to reduce their risk. 4 Adult immunizations: https://www.cdc.gov/vaccines/schedules/index.html Additional preventive care bene昀椀ts may be covered under the health plan. 30