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Preventive Health Guidelines

PW_A105374

Medicare Advantage

Preventive Screening and Immunizations Recommendations for Medicare Beneficiaries: 

SCREENING / IMMUNIZATION 
FREQUENCY 
Height, weight, vision and hearing 
Every 1-2 years 
Blood Pressure 
Every 1-2 years 
Pap Test 
Discuss frequency with physician 
Total cholesterol and HDL cholesterol test 
Discuss frequency and testing options with your physician, but at least every 5 years. 
Mammography screening with or without clinical breast examination for women age 40 and older 
Every 1-2 years. Discuss with your physician after age 75. 
Colorectal cancer screening (age 50-80):
Fecal Occult Blood Test (FOBT)
Or Flexible Sigmoidoscopy
Or Colonoscopy
Or Double Contrast Barium Enema  

Annually
Every 5 years
Every 10 years
Every 5 years  
TB screening 
High risk - to be performed based on risk 
Variella (chicken pox) 
High risk - 2 doses, 4-8 weeks apart 
TD booster (tetanus, diptheria) 
Once every 10 years 
Pneumococcal (polysaccharide) 
Once, booster may be required 
Influenza 
Annually, each fall season 
Hepatitus A (for high risk individuals) 
2 doses - second dose 6 months after first 
Hepatitus B (for high risk individuals) 
At current visit, then at 1 and 6 months 
Osteoporosis screening 
Routinely 

COUNSELING 
Men should discuss the know risks and benefits of prostate cancer screening with their physician. 
Women should discuss the risk factors for osteoporosis with physician. 
Discuss risk factors for stroke and coronary artery disease for prevention with physician. 
Assess cardiovascular disease risk and discuss aspirin therapy periodically to prevent CVD events. 
Nutrition, Physical Activity, Injury Prevention, Drug and Alcohol Use, Sexually Transmitted Diseases, Medication Use, Hormone Replacement Therapy, Dental Health, Mental Health (Depression), Sun Exposure, Tobacco Cessation. 
 
REFERENCES: 
The Guide to Clinical Preventive Services, 3rd Edition, U.S. Preventive Services Taskforce (2000-2002). 
Centers for Disease Control and Prevention (2003, October) Notice to Readers: Revised Standards for Adult Immunization Practices and Child and Adolescent Immunization Practices, 2003. MMWR 52(40); 969-970 http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5240a8.htm 
 
Centers for Disease Control and Prevention (2004, May). Prevention and Control of Influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP) 53 (RR-6) MMWR Recommendations and Reports. http://www.cdc.gov/mmwrPDF/rr/rr5306.pdf 
 
Institute for Clinical Systems Improvement. (2003, September) Health Care Guidelines: Preventive Services for Adults. http://www.icsi.org 
 
American Cancer Society. . (2002, November). New Cervical Cancer Early Detection Guidelines Released http://www.cancer.org/docroot/NWS/content/NWS_1_1x_New_Cervical_Cancer_Early_Detection_Guidelines_Released.asp 
 
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