Preventive Health Care Guide 2016 2017 At any stage of life, it s important to make your health a priority. That means making healthy lifestyle choices and seeing your doctor regularly. The charts on the following pages offer health recommendations for you and your family. When you stay up-to-date on preventive health care, you re taking action toward a longer, healthier, and happier life. Adults Save and share with your doctor! Primary Care Office Visits When to Visit 19 to 64 Annually Screening Schedule Screenings 19 to 26 Height and weight/body mass index (BMI) calculation; blood pressure; Pap test every 3 years for women (begin screening within 3 years of onset of sexual activity or age 21); chlamydia screening for sexually active women ages 24 and younger; tobacco, alcohol, and illicit drug use prevention and cessation 27 to 49 Height and weight/body mass index (BMI) calculation; blood pressure; Pap test every 3 years (at least every 3 years for women who have been sexually active and who have a cervix); tobacco, alcohol, and illicit drug use prevention and cessation; lipids (cholesterol and triglycerides) for men age 35 or older and women ages 45 and older; mammogram alone or with clinical breast exam by physician every 1 to 2 years for women (American Cancer Society recommends yearly mammograms for women ages 40 and older) 50 to 64 Height and weight/body mass index (BMI) calculation; blood pressure; Pap test every 3 years (at least every 3 years for women who have been sexually active and who have a cervix); tobacco, alcohol, and illicit drug use prevention and cessation; lipids (cholesterol and triglycerides); mammogram alone or with clinical breast exam by physician every 1 to 2 years for women (American Cancer Society recommends yearly mammograms for women ages 40 and older); colorectal cancer screening using fecal occult blood testing yearly, sigmoidoscopy every 5 years, or colonoscopy every 10 years. Immunization Schedule Immunizations 19 to 26 Influenza (flu) annually; tetanus-diphtheria (Td) booster once every 10 years after a one-time dose of Tdap; human papillomavirus (HPV) 3 doses if no evidence of vaccine or immunity for women; varicella (chickenpox) 2 doses if no evidence of vaccine or immunity; MMR (measles, mumps, rubella) 1 or 2 doses if no evidence of vaccine or immunity 27 to 49 Influenza (flu) annually; tetanus-diphtheria (Td) booster once every 10 years after a one-time dose of Tdap; varicella (chickenpox) 2 doses if no evidence of vaccine or immunity; MMR (measles, mumps, rubella) 1 or 2 doses if no evidence of vaccine or immunity 50 to 59 Influenza (flu) annually; tetanus-diphtheria (Td) booster once every 10 years after a one-time dose of Tdap; varicella (chickenpox) 2 doses if no evidence of vaccine or immunity 60 to 64 Same as age 50 to 59, plus zoster (shingles) Patient Education Important Topics 19 to 64 Breast self-exam for women Dental health Diet and exercise Injury prevention Safe sexual practices Safe sun exposure Prevention and cessation of tobacco, alcohol, and illicit drug use Testicular exam for men
Immunizations* PRIMARY CARE OFFICE VISITS Birth to 2 years 2 to 6 years 7 to 12 years 13 to 18 years How often you need well checkups 2 to 4 days after birth if discharged less than 48 hrs. after birth Between 2 weeks and 1 month 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months Every year Every other year Every year Screenings Birth to 2 years 2 to 6 years 7 to 12 years 13 to 18 years The types of screenings your child may need General assessment at birth, including hearing screening Height, weight, blood pressure beginning at 3 years; vision and hearing before 5 years Height, weight, blood pressure, BMI For sexually active girls: chlamydia every year, Pap test every 3 years IMPORTANT TOPICS Birth to 2 years 2 to 6 years 7 to 12 years 13 to 18 years Growth and development Nutrition (including iron-rich foods for breast-feeding mothers), discipline, behavior, sleep habits Discipline and behavior, nutrition and exercise Discipline and behavior, nutrition and exercise Discipline and behavior, nutrition and exercise, safe sexual practices Injury prevention Preventive Health Care Guide 2016 2017 Children Regular visits to the doctor are an important part of keeping your child healthy. Through the stages of your child s life, Health First Health Plans recommends these tests and immunizations: Birth 1 2 2 4 6 Child safety seats, smoke detectors, poison control, keeping water heater temperature below 120 to 130 degrees, pool fence, window/stair guards Seat belts; bicycle helmets; storage of toxic chemicals, matches, and firearms; poison control; smoke detectors Seat belts, bicycle helmets, smoke detectors, storage of firearms Vehicle safety, including driving and seat belts, bicycle helmets, and motorcycles and ATV safety Tobacco, alcohol, and illicit drug use Effects of secondhand smoke Effects of secondhand smoke Prevention and cessation Prevention and cessation Other Dental health (baby bottle tooth decay), safe sun exposure, Dental health, safe sun Dental health, safe sun Dental health, safe sun exposure CPR training exposure exposure 6 18 12 15 15 18 Save and share with your child s doctor! 4 6 years 7 10 years 11 12 years 13 18 years Hepatitis B 1 YES YES YES Rotavirus (RV) (2 or 3 doses) YES YES YES Diphtheria, tetanus, acellular pertussis (DTaP) YES YES YES YES YES Tetanus, diphtheria, pertussis (Td/Tdap) YES (Td booster every 10 years) Haemophilus influenzae type b (Hib) YES YES YES YES Pneumococcal conjugate vaccine (PCV) YES YES YES YES Inactivated polio vaccine (IPV) YES YES YES YES Measles, mumps, rubella (MMR) YES YES YES Varicella (chickenpox) YES YES Hepatitis A YES (2 doses 6 apart 12 23 ) Human papillomavirus (HPV) YES (3-dose series) Meningococcal (MCV4) YES Influenza (flu) YES First dose at 6 months, then every year thereafter Any childhood immunizations that were missed Expectant Mothers Prenatal care is essential to keep you and your baby healthy. Here s what to expect during your prenatal visits. Screenings, Tests, and History At your first visit, your doctor will check your health or test for a variety of conditions: Blood pressure Blood type test and antibody screening Chlamydia and syphilis Iron deficiency (hemoglobin/hematocrit testing) Hepatitis B virus testing Rubella serology (testing for rubella) or vaccination history Varicella (chickenpox) history On follow-up visits, your doctor will check your: Blood pressure (every visit) Urine culture (12 to 16 weeks) Your doctor may also recommend: Chorionic villus sampling before 13 weeks or amniocentesis between 15 and 18 weeks (if age 35 or older), to help identify the risk for genetic disorders HIV testing Multiple marker testing (15 to 18 weeks) to help identify the risk for birth defects Serum alpha-fetoprotein (16 to 18 weeks) to help identify the risk for genetic disorders Important Topics Alcohol and illicit drug use cessation Breast-feeding Infant safety car seats Lap/shoulder belts Nutrition (including adequate calcium and folic acid) STD prevention Tobacco cessation and effects of secondhand smoke *Your child s doctor may use some combination of vaccines and reduce the number of shots. 1 Hepatitis B vaccine can be given at other infant visits as long as there is one month between the first and second dose, and four months between the second and third dose. The first dose can be given at the hospital at birth. These recommendations are based on guidelines from the U.S. Preventive Services Task Force for people with average risk. Doctors may have other recommendations depending on a patient s individual history, ethnic/racial group, or other risks.
Preventive Health Care Guide 2016 2017 Adults 65+ Save and share with your doctor! Screening Recommendation Blood pressure annually Height and weight/body mass index (BMI) calculation annually Hearing and vision annually Lipids (cholesterol and triglycerides) annually Fecal occult blood test annually Colonoscopy every 10 years, Sigmoidoscopy every 5 years, or fecal occult blood test yearly. For women Mammogram** and clinical breast exam annually For women Cervical cancer screening For women Bone mineral density test every 2 years Vaccine Recommendation Influenza (flu) annually Tetanus-diphtheria (Td) booster once every 10 years Varicella (chickenpox), 2 doses if no evidence of vaccine or immunity Zoster (shingles) vaccine, 1 dose Pneumococcal (pneumonia) vaccine, 1 dose Pateient Education Recommendation Dental exam every 6 to 12 months Diet and exercise Injury prevention Safe sexual practices Safe sun exposure Tobacco, alcohol, and illicit drug use prevention and cessation For women Breast self-exam monthly For men Testicular self-exam monthly **Expert recommendations on mammography vary. The American Cancer Society recommends yearly mammograms for women ages 40 and older as long as they are in good health. Florida Hospital Care Advantage is administered by Health First Health Plans. Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in Health First Health Plans depends on contract renewal. Health First Health Plans, Inc. and Health First Commercial Plans, Inc. are both doing business under the name of Florida Hospital Care Advantage. Florida Hospital Care Advantage does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations. Y0089_MPINFO4402FH (03/16)
Nondiscrimination Notice Florida Hospital Care Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Florida Hospital Care Advantage does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Florida Hospital Care Advantage: Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters Written information in other formats (large print, accessible electronic formats) Provides free language services to people whose primary language is not English, such as: Qualified interpreters Information written in other languages If you need these services, please contact Sherri Wynn. If you believe that Florida Hospital Care Advantage has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Sherri Wynn, ADA/Section 504 Coordinator, 6450 US Highway 1, Rockledge, FL 32955, 321-434-4521, 1-800-955-8771 (TTY), Fax: 321-434-4362, Sherri Wynn@health-first.org. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance Sherri Wynn, ADA/Section 504 Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-868-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Florida Hospital Care Advantage is administered by Health First Health Plans. Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in Health First Health Plans depends on contract renewal. Y0089_EL6075FH Accepted 08192016
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