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Health Screening Schedule
This schedule is a recommended timeline for routine health screenings.
It does not replace the care of your doctor or guarantee insurance
coverage. Please consult your physician for medical guidance, and
contact your health plan for information about benefits.
Preventive Service
Age
Frequency
Bone Mineral Density
(DEXA – scan)
Women 65-85
Men 70+
Colonoscopy
50-75
Dental checkup
Depression Screening
Flu Vaccination
All
18+
6 months+
40-49
50+
Every 10 years (sigmoidoscopy every 5 or fecal
occult blood test every 3)
Twice a year
Regularly if at-risk
Every year
Doctor recommendation
Every 2 years
All
Every year
65+
Doctor recommendation
18+
Every year
50+
Doctor recommendation
18+
20+
High Risk of Glaucoma
Diabetic patients
21-30
Once in lifetime
Doctor recommendation
Every 10 years
Every 1-2 years
Every year
Every year
Every 3 years
30-65
Every 3-5 years
Mammogram
Physical Examination
(weight, height, BMI, blood
pressure, etc.)
Pneumonia Vaccination
Preventive Labs
(fasting glucose, cholesterol, etc.)
Shingles Vaccination
Skin Screening
Tetanus Vaccination
Vision Exam
Well Woman Exam
(breast exam, pap test and
pelvic exam)
Every 2 years
Health First offers health care coverage options through two companies. Health First
Health Plans, Inc. offers Medicare Advantage and Group HMO and POS (point of service)
health plans. Health First Insurance, Inc. offers Group and Individual PPO insurance,
including Exchange policies. Health First Health Plans is an HMO plan with a Medicare
contract. Enrollment in Health First Health Plans depends on contract renewal.
Y0089_MPINFO4049 (05/14)
My Health & Preventive
Screenings Record
It’s so easy to
forget when you had
your last screening…
and so important
to remember when
your next one
is due!
Use this convenient record to keep track of the
dates of your health screenings.
THIS RECORD BELONGS TO:
_____________________________________________
Health Screenings
Health Screenings
Shingles Vaccination
Bone Mineral Density (DEXA scan)
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
Preventive Labs (fasting glucose, cholesterol, etc.)
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
DATE
Other
Pneumonia Vaccination
DATE
DATE
DATE
Other
Physical Exam (weight, height, BMI, blood pressure, etc.)
DATE
DATE
Medication Refills
Mammogram
DATE
DATE
Well Woman Exam (breast exam, pelvic exam and Pap test)
Flu Vaccination
DATE
DATE
Vision Exam
Depression Screening
DATE
DATE
Tetanus Vaccination
Dental Checkup
DATE
DATE
Skin Screening
Colonoscopy
DATE
DATE
DATE
DATE
DATE
DATE
Health First Health Plans and Insurance 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.