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Preventive Care

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Step One: Review recommended preventive services 

Your health plan covers the following services at no cost to you when delivered by a doctor or other provider in your plan's network. Select an age group on the chart below to find recommended preventive services.


When you take your baby in to the doctor's office to receive the vaccines below, your doctor will also perform a well-child check to make sure your child is growing and developing properly. This is an important part of maintaining your child's health.

 

Vaccine

Birth

1 mo.

2 mos.

4 mos.

6 mos. 

12 mos. 

15 mos. 

 18 mos.

 24 mos.
Diphtheria/Tetanus/Pertussis
(DTaP) 		X X X X X  
Poliovirus (IPV)   X X X X X    
Measles, Mumps, and Rubella
(MMR)/(MMRV) 		      X X    
Varicella (Chickenpox)       X X    
Pneumococcal (PCV) X X X X X    
Haemophilus Influenzae Type B (Hib) X X X* X X    
Rotavirus X X X*        
Hepatitis B (Hep B) X X X   X X X    
Hepatitis A (Hep A)       X
2 shots, 6 mos. apart between 12 and 24 mos.
Influenza (flu)           X
Yearly after 12 mos.

* Child may need three or four doses of Hib, and two or three doses of Rotavirus depending on manufacturer

Step Two: Where and when to get care >

Service

Ages 3 – 6 

Ages 7 – 10

Ages 11 – 12

Ages 13 – 18

 Annual Physical Exam X
Yearly		 X
Yearly		 X
Yearly		 X
Yearly
 Chlamydia Screening       X
Yearly for sexually active women
Diphtheria/Tetanus/Pertussis (DTaP) Vaccine X Completed by age 6 X Completed by age 12
Human Papillomavirus (HPV) Vaccine   X
Three-dose series		 Completed by age 12
Influenza (flu) Vaccine X
Yearly		 X
Yearly		 X
Yearly		 X
Yearly 
 Measles, Mumps, and Rubella (MMR) Vaccine X Complete by age 6    
 Meningococcal Vaccine     X X
Age 16 
 Poliovirus (IPV) Vaccine X Complete by age 6    
 Varicella (Chickenpox) Vaccine  X Complete by age 6    
Weight Screening  Height, weight, body mass index (BMI), percentile
Yearly		 Height, weight, body mass index (BMI), percentile
Yearly		 Height, weight, body mass index (BMI), percentile
Yearly		 Height, weight, body mass index (BMI), percentile
Yearly
Wellness Screening  X X X X

Step Two: Where and when to get care >

Service

Ages 19 – 20

Ages 21 – 25

Ages 26 – 29

Ages 30 – 39
Blood Pressure Screening X
As determined by your doctor		 X
As determined by your doctor		 X
As determined by your doctor		 X
As determined by your doctor
Cervical Cancer Screening (Pap test) X
Age 21, every three years after		 X
Age 21, every three years after		 X
Every three years; five if combined with HPV testing
Chlamydia Screening X
Yearly for sexually active women		 X
Yearly for sexually active women age 24 and younger		 Talk with your doctor Talk with your doctor
Influenza (flu) Vaccine X
Yearly		 X
Yearly		 X
Yearly		 X
Yearly
Tetanus/Diphtheria/Pertussis (dt/DTaP) Vaccine A Tetanus Diphtheria (Td) booster every 10 years
(Substitute one Td booster with a one-time Tdap* vaccine)		 A Tetanus Diphtheria (Td) booster every 10 years
(Substitute one Td booster with a one-time Tdap* vaccine)		 A Tetanus Diphtheria (Td) booster every 10 years
(Substitute one Td booster with a one-time Tdap* vaccine)		 A Tetanus Diphtheria (Td) booster every 10 years
(Substitute one Td booster with a one-time Tdap* vaccine)
Alcohol Use Screening X
If you use alcohol		 X
If you use alcohol 		X
If you use alcohol 		X
If you use alcohol
Tobacco Use Screening X
If you use tobacco		 X
If you use tobacco 		X
If you use tobacco 		X
If you use tobacco 
Record height, weight, and body mass index (BMI) X
Yearly		 X
Yearly		 X
Yearly		 X
Yearly

*Tdap adds protection against pertussis (whooping cough)

Step Two: Where and when to get care >

Service

Ages 40 – 44

Ages 45 – 49

Ages 50 – 64

Ages 65 – 75

Ages 75+
 Physical Exam
Complete a full checkup and talk with your doctor about heath concerns, goal setting and screenings.		       X
Yearly		 X
Yearly 
Blood Pressure
Screening		 X
As determined by your doctor		 X
As determined by your doctor		 X
As determined by your doctor		 X
As determined by your doctor		 X
As determined by your doctor
Bone Density
Testing 		      Talk with your doctor X
Every 2 years; if you have a fracture, schedule immediately  		 X
Every 2 years; if you have a fracture, schedule immediately
Breast Cancer
Screening
(Mammogram)		 Talk with your doctor Talk with your doctor X
Every 1 – 2 years 		X
Every 1 – 2 years 		  
Cervical Cancer
Screening (Pap test)		 X
Every 3 years, 5 if combined with HPV testing		 X
Every 3 years; 5 if combined with HPV testing		 X
Every 3 years; 5 if combined with HPV testing		 Stop at age 65-70 if screening was done in the 10 years prior   
Chlamydia Screening Talk with your doctor Talk with your doctor Talk with your doctor Talk with your doctor Talk with your doctor
Cholesterol (Lipids)
Screening – Fasting		 X X X X
Colorectal Cancer
Screening 		 X
Recommended for all persons age 45 or older.		 X
Start screening at age 45; repeat at intervals determined by previous screening		 X
Repeat at intervals determined by previous screening		  
 Dental Care       X
Yearly		 X
Yearly
Depression       X
Yearly and routinely 		 X
Yearly and routinely 
Eye Exam       X
Yearly		  X
Yearly
Hepatitis C
Screening		       X
If you were born between 1945 and 1965 		 
Influenza (flu)
Screening		 X
Yearly		 X
Yearly		 X
Yearly 		X
Yearly		 X
Yearly
Pneumococcal
Vaccine		       X
Given at age 65 or earlier if you are high risk as determined by your doctor		  
Shingles
(Herpes Zoster) 		     X
One-time dose needed at age 60 or older		    
Tetanus/Diphtheria/
Pertussis (Td/TDaP)
Vaccine 		 Td booster every 10 years
(Or substitute with one-time TDaP* )		 Td booster every 10 years
(Or substitute with one-time TDaP* )		 Td booster every 10 years
(Or substitute with one-time TDaP* )		 Td booster every 10 years
(Or substitute with one-time TDaP* ) 		 Td booster every 10 years
(Or substitute with one-time TDaP* ) 
 Alcohol Use
Screening		 X
If you use alcohol		 X
If you use alcohol		 X
If you use alcohol		 X
If you use alcohol		 X
If you use alcohol
 Tobacco Use
Screening		 X
If you use tobacco 		X
If you use tobacco 		X
If you use tobacco 		X
If you use tobacco 		X
If you use tobacco
 Record height, weight, and body mass index (BMI) X
Yearly 		 X
Yearly		 X
Yearly		 X
Yearly		 X
Yearly

* TDaP adds protection against pertussis (whooping cough)


Step Two: Where and when to get care >

While every pregnancy has similar stages, your pregnancy experience will be as unique as you are. One universal experience, however, is that thorough prenatal care can promote the best possible outcome for you and your baby.

We've put together a week-by-week breakdown of screenings, education, immunizations and services that you may need while pregnant. You can use this list to discuss with your doctor or midwife what services are right for you and your pregnancy.

Recommended services for a healthy pregnancy

 

Preventive care recommendations are based on information from the U.S. Preventive Services Task Force. These recommendations are standardized guidelines intended to support your care. It is important that you discuss your care needs with your doctor. Your family's health history may affect what care you need.

Medica is a Cost and HMO-POS plan with a Medicare contract. Enrollment in Medica depends on contract renewal.

Medica DUAL Solution is a health plan that contracts with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in Medica DUAL Solution depends on contract renewal.


Last Updated: April 2018

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