Preventive Screening and Guidelines for Healthy Adults

You maintain your car, your computer, and even your household appliances. But are you taking enough care of yourself?

We strongly encourage all our members to be an active partner with their physician(s), which means taking the time to understand which prevention screenings you need, and when you need them. These quick and simple tests can detect life-threatening medical conditions, usually in time to treat them successfully.

The prevention screening guidelines are primarily for children and adults with no current symptoms or prior history of a medical condition. People with medical conditions, or who have a strong family history of certain diseases, should talk with their doctors.

Approximately 211,000 new cases of invasive breast cancer will be detected in the U.S. this year, and 39,800 women will die from the disease. Other than skin cancer, breast cancer is the most diagnosed cancer among American women. Learn more about breast cancer.

Getting preventive care is one of the most important steps you can take to manage your health. That's because when a condition is diagnosed early, it is usually easier to treat. And regular checkups can help you and your doctor identify lifestyle changes you can make to avoid certain conditions. As always, consult with your doctor for the screenings and immunizations most appropriate for you.

Please see the screening guidelines below to see if you're up-to-date.1

Well Visit

Includes personal history, blood pressure, body mass index (BMI), physical exam, preventive screening, and counseling

Annually

Cancer Screenings

Colorectal Cancer

Not routine, except for patients at high risk

Skin Cancer

Annual total skin exam at discretion of doctor

Breast Cancer (Women)

Mammograms before age 50 are performed due to individual context after discussing risks, benefits, and harms with a doctor

Cervical Cancer (Women)

Cytology (Pap Smear) every 3 years age 21–65, or cytology with HPV every 5 years for age 30–65 if both initial tests are negative

Testicular and Prostate Cancer (Men)

Informed decision making regarding prostate-specific antigen screening, or PSA screening, starting at age 40–50 depending on risk

Infectious Disease Screening

Zika Virus

At each prenatal visit, health care providers should screen pregnant woman for possible exposure to Zika virus before and during the current pregnancy and possible symptoms of Zika virus infection.

Chlamydia and Gonorrhea

  • Annual chlamydia screening for all sexually active women younger than 25 years and sexually active women 25 years or older with risk factors (e.g., a history of prior chlamydial or other sexually transmitted infection, new or multiple sex partners, sex partner with concurrent partners, sex partner with a sexually transmitted infection, or exchanging sex for drugs or money)
  • Routine gonorrhea screening should be offered to sexually-active patients at high risk of infection

HIV

Routine screenings for patients 18 years and older, and annual for those at increased risk

Syphilis

Screenings for all pregnant women, and those at increased risk

Sensory Screenings

Eye Exam

  • Every 2-4 years, age 40–54
  • Every 1-3 years, age 55–64

Hearing Assessment

Unnecessary if asymptomatic

Immunizations

Tetanus, Diphtheria (Td)

1 dose of Td, then Td booster every 10 years

Influenza

1 dose annually

Pneumococcal

PCV13 1 dose given first
PVSV23 1, 2 or 3 doses if indicated

Measles, Mumps, & Rubella (MMR)

1–2 doses recommended for adults who meet the age requirement, lack documentation of vaccination, or lack evidence of past infection

Meningococcal (Meningitis)

1 or more doses if not previously immunized, depending on risk factors and other indicators; 10 or more doses depending on immunity or past vaccinations

Varicella (Chicken Pox)

2 doses 4–8 weeks apart without evidence of immunity

Herpes Zoster (Shingles)

N/A

HPV (Human papillomavirus)

3 doses if not previously immunized

Hepatitis A

2 or 3 doses if not previously immunized when requested, or at risk

Hepatitis B

3 doses if not previously immunized

Haemophilus Influenzae type B

  • 1 dose for patients with asplenia, or sickle cell anemia
  • 3 doses for patients with Hematopoietic Stem Cell Transplant History (HSCT)

Other Recommended Screenings

Body Mass Index (BMI)

Regular screening for all adults

Blood Pressure (Hypertension)

Check at every visit and perform blood pressure screening for hypertension—once every two years for blood pressure less than 120/80 mm Hg, and every year for systolic blood pressure of 120 to 139 mm Hg or diastolic blood pressure of 80 to 89 mm Hg

Cholesterol

  • Screen for lipid disorder (high cholesterol) starting at age 18
  • Regular screenings for men over 35, and women over 45 who are at risk for heart disease
  • Regular screenings for men 18–35, and women 18–45 who have an increased risk for heart disease

Well Visit

Includes personal history, blood pressure, body mass index (BMI), physical exam, preventive screening, and counseling

Every 1–3 years, depending on risk factors

Cancer Screenings

Colorectal Cancer

Not routine, except for patients at high risk

Skin Cancer

Annual total skin exam at discretion of doctor

Breast Cancer (Women)

Mammograms before age 50 are performed due to individual context after discussing risks, benefits, and harms with a doctor

Cervical Cancer (Women)

Cytology (Pap Smear) every 3 years age 21–65, or cytology with HPV every 5 years for age 30–65 if both initial tests are negative

Testicular and Prostate Cancer (Men)

Informed decision making regarding prostate-specific antigen screening, or PSA screening, starting at age 40–50 depending on risk

Infectious Disease Screening

Zika Virus

At each prenatal visit, health care providers should screen pregnant woman for possible exposure to Zika virus before and during the current pregnancy and possible symptoms of Zika virus infection.

Chlamydia and Gonorrhea

  • Annual chlamydia screening for all sexually active women younger than 25 years and sexually active women 25 years or older with risk factors (e.g., a history of prior chlamydial or other sexually transmitted infection, new or multiple sex partners, sex partner with concurrent partners, sex partner with a sexually transmitted infection, or exchanging sex for drugs or money)
  • Routine gonorrhea screening should be offered to sexually-active patients at high risk of infection

HIV

Routine screenings for patients 18 years and older, and annual for those at increased risk

Syphilis

Screenings for all pregnant women, and those at increased risk

Sensory Screenings

Eye Exam

  • Every 2-4 years, age 40–54
  • Every 1-3 years, age 55–64

Hearing Assessment

Unnecessary if asymptomatic

Immunizations

Tetanus, Diphtheria (Td)

1 dose of Td, then Td booster every 10 years

Influenza

1 dose annually

Pneumococcal

PCV13 1 dose given first
PVSV23 1, 2 or 3 doses if indicated

Measles, Mumps, & Rubella (MMR)

1–2 doses recommended for adults who meet the age requirement, lack documentation of vaccination, or lack evidence of past infection

Meningococcal (Meningitis)

1 or more doses if not previously immunized, depending on risk factors and other indicators; 10 or more doses depending on immunity or past vaccinations

Varicella (Chicken Pox)

2 doses 4–8 weeks apart without evidence of immunity

Herpes Zoster (Shingles)

N/A

HPV (Human papillomavirus)

N/A

Hepatitis A

2 or 3 doses if not previously immunized when requested, or at risk

Hepatitis B

3 doses if not previously immunized

Haemophilus Influenzae type B

  • 1 dose for patients with asplenia, or sickle cell anemia
  • 3 doses for patients with Hematopoietic Stem Cell Transplant History (HSCT)

Other Recommended Screenings

Body Mass Index (BMI)

Regular screening for all adults

Blood Pressure (Hypertension)

Check at every visit and perform blood pressure screening for hypertension—once every two years for blood pressure less than 120/80 mm Hg, and every year for systolic blood pressure of 120 to 139 mm Hg or diastolic blood pressure of 80 to 89 mm Hg

Cholesterol

  • Screen for lipid disorder (high cholesterol) starting at age 18
  • Regular screenings for men over 35, and women over 45 who are at risk for heart disease
  • Regular screenings for men 18–35, and women 18–45 who have an increased risk for heart disease

Well Visit

Includes personal history, blood pressure, body mass index (BMI), physical exam, preventive screening, and counseling

Every 1–3 years, depending on risk factors

Cancer Screenings

Colorectal Cancer

Not routine, except for patients at high risk

Skin Cancer

Annual total skin exam at discretion of doctor

Breast Cancer (Women)

Mammograms before age 50 are performed due to individual context after discussing risks, benefits, and harms with a doctor

Cervical Cancer (Women)

Cytology (Pap Smear) every 3 years age 21–65, or cytology with HPV every 5 years for age 30–65 if both initial tests are negative

Testicular and Prostate Cancer (Men)

Informed decision making regarding prostate-specific antigen screening, or PSA screening, starting at age 40–50 depending on risk

Infectious Disease Screening

Zika Virus

At each prenatal visit, health care providers should screen pregnant woman for possible exposure to Zika virus before and during the current pregnancy and possible symptoms of Zika virus infection.

Chlamydia and Gonorrhea

  • Annual chlamydia screening for all sexually active women younger than 25 years and sexually active women 25 years or older with risk factors (e.g., a history of prior chlamydial or other sexually transmitted infection, new or multiple sex partners, sex partner with concurrent partners, sex partner with a sexually transmitted infection, or exchanging sex for drugs or money)
  • Routine gonorrhea screening should be offered to sexually-active patients at high risk of infection

HIV

Routine screenings for patients 18 years and older, and annual for those at increased risk

Syphilis

Screenings for all pregnant women, and those at increased risk

Sensory Screenings

Eye Exam

  • Every 2-4 years, age 40–54
  • Every 1-3 years, age 55–64

Hearing Assessment

Unnecessary if asymptomatic

Immunizations

Tetanus, Diphtheria (Td)

1 dose of Td, then Td booster every 10 years

Influenza

1 dose annually

Pneumococcal

PCV13 1 dose given first
PVSV23 1, 2 or 3 doses if indicated

Measles, Mumps, & Rubella (MMR)

1–2 doses recommended for adults who meet the age requirement, lack documentation of vaccination, or lack evidence of past infection

Meningococcal (Meningitis)

1 or more doses if not previously immunized, depending on risk factors and other indicators; 10 or more doses depending on immunity or past vaccinations

Varicella (Chicken Pox)

2 doses 4–8 weeks apart without evidence of immunity

Herpes Zoster (Shingles)

N/A

HPV (Human papillomavirus)

N/A

Hepatitis A

2 or 3 doses if not previously immunized when requested, or at risk

Hepatitis B

3 doses if not previously immunized

Haemophilus Influenzae type B

  • 1 dose for patients with asplenia, or sickle cell anemia
  • 3 doses for patients with Hematopoietic Stem Cell Transplant History (HSCT)

Other Recommended Screenings

Body Mass Index (BMI)

Regular screening for all adults

Blood Pressure (Hypertension)

Check at every visit and perform blood pressure screening for hypertension—once every two years for blood pressure less than 120/80 mm Hg, and every year for systolic blood pressure of 120 to 139 mm Hg or diastolic blood pressure of 80 to 89 mm Hg

Cholesterol

  • Screen for lipid disorder (high cholesterol) starting at age 18
  • Regular screenings for men over 35, and women over 45 who are at risk for heart disease
  • Regular screenings for men 18–35, and women 18–45 who have an increased risk for heart disease

Well Visit

Includes personal history, blood pressure, body mass index (BMI), physical exam, preventive screening, and counseling

Annually

Cancer Screenings

Colorectal Cancer

  • Colonoscopy at age 50 and then every 10 years, or
  • Annual fecal immunochemical test (FIT), or
  • Sigmoidoscopy every 5 years plus fecal occult blood test (FOBT) every 3 years, or
  • Annual FOBT

Skin Cancer

Annual total skin exam at discretion of doctor

Breast Cancer (Women)

  • Mammograms every two years from age 50–74
  • After age 75, discuss benefits and limitations with your doctor

Cervical Cancer (Women)

Cytology (Pap Smear) every 3 years age 21–65, or cytology with HPV every 5 years for age 30–65 if both initial tests are negative

Testicular and Prostate Cancer (Men)

Informed decision making regarding prostate-specific antigen screening, or PSA screening, starting at age 40–50 depending on risk

Infectious Disease Screening

Zika Virus

At each prenatal visit, health care providers should screen pregnant woman for possible exposure to Zika virus before and during the current pregnancy and possible symptoms of Zika virus infection.

Chlamydia and Gonorrhea

  • Annual chlamydia screening for all sexually active women younger than 25 years and sexually active women 25 years or older with risk factors (e.g., a history of prior chlamydial or other sexually transmitted infection, new or multiple sex partners, sex partner with concurrent partners, sex partner with a sexually transmitted infection, or exchanging sex for drugs or money)
  • Routine gonorrhea screening should be offered to sexually-active patients at high risk of infection

HIV

Routine screenings for patients 18 years and older, and annual for those at increased risk

Syphilis

Screenings for all pregnant women, and those at increased risk

Sensory Screenings

Eye Exam

  • Every 2-4 years, age 40–54
  • Every 1-3 years, age 55–64

Hearing Assessment

Unnecessary if asymptomatic

Immunizations

Tetanus, Diphtheria (Td)

1 dose of Td, then Td booster every 10 years

Influenza

1 dose annually

Pneumococcal

PCV13 1 dose given first
PVSV23 1, 2 or 3 doses if indicated

Measles, Mumps, & Rubella (MMR)

1–2 doses recommended for adults who meet the age requirement, lack documentation of vaccination, or lack evidence of past infection

Meningococcal (Meningitis)

1 or more doses if not previously immunized, depending on risk factors and other indicators; 10 or more doses depending on immunity or past vaccinations

Varicella (Chicken Pox)

2 doses 4–8 weeks apart without evidence of immunity

Herpes Zoster (Shingles)

N/A

HPV (Human papillomavirus)

N/A

Hepatitis A

2 or 3 doses if not previously immunized when requested, or at risk

Hepatitis B

3 doses if not previously immunized

Haemophilus Influenzae type B

  • 1 dose for patients with asplenia, or sickle cell anemia
  • 3 doses for patients with Hematopoietic Stem Cell Transplant History (HSCT)

Other Recommended Screenings

Body Mass Index (BMI)

Regular screening for all adults

Blood Pressure (Hypertension)

Check at every visit and perform blood pressure screening for hypertension—once every two years for blood pressure less than 120/80 mm Hg, and every year for systolic blood pressure of 120 to 139 mm Hg or diastolic blood pressure of 80 to 89 mm Hg

Cholesterol

  • Screen for lipid disorder (high cholesterol) starting at age 18
  • Regular screenings for men over 35, and women over 45 who are at risk for heart disease
  • Regular screenings for men 18–35, and women 18–45 who have an increased risk for heart disease

Well Visit

Includes personal history, blood pressure, body mass index (BMI), physical exam, preventive screening, and counseling

Annually

Cancer Screenings

Colorectal Cancer

  • Colonoscopy at age 50 and then every 10 years, or
  • Annual fecal immunochemical test (FIT), or
  • Sigmoidoscopy every 5 years plus fecal occult blood test (FOBT) every 3 years, or
  • Annual FOBT

Skin Cancer

Annual total skin exam at discretion of doctor

Breast Cancer (Women)

  • Mammograms every two years from age 50–74
  • After age 75, discuss benefits and limitations with your doctor

Cervical Cancer (Women)

Cytology (Pap Smear) every 3 years age 21–65, or cytology with HPV every 5 years for age 30–65 if both initial tests are negative

Testicular and Prostate Cancer (Men)

Informed decision making regarding prostate-specific antigen screening, or PSA screening, starting at age 40–50 depending on risk

Infectious Disease Screening

Zika Virus

At each prenatal visit, health care providers should screen pregnant woman for possible exposure to Zika virus before and during the current pregnancy and possible symptoms of Zika virus infection.

Chlamydia and Gonorrhea

  • Annual chlamydia screening for all sexually active women younger than 25 years and sexually active women 25 years or older with risk factors (e.g., a history of prior chlamydial or other sexually transmitted infection, new or multiple sex partners, sex partner with concurrent partners, sex partner with a sexually transmitted infection, or exchanging sex for drugs or money)
  • Routine gonorrhea screening should be offered to sexually-active patients at high risk of infection

HIV

Routine screenings for patients 18 years and older, and annual for those at increased risk

Syphilis

Screenings for all pregnant women, and those at increased risk

Sensory Screenings

Eye Exam

  • Every 2-4 years, age 40–54
  • Every 1-3 years, age 55–64

Hearing Assessment

Unnecessary if asymptomatic

Immunizations

Tetanus, Diphtheria (Td)

1 dose of Td, then Td booster every 10 years

Influenza

1 dose annually

Pneumococcal

PCV13 1 dose given first
PVSV23 1, 2 or 3 doses if indicated

Measles, Mumps, & Rubella (MMR)

1–2 doses recommended for adults who meet the age requirement, lack documentation of vaccination, or lack evidence of past infection

Meningococcal (Meningitis)

1 or more doses if not previously immunized, depending on risk factors and other indicators; 10 or more doses depending on immunity or past vaccinations

Varicella (Chicken Pox)

2 doses 4–8 weeks apart without evidence of immunity

Herpes Zoster (Shingles)

1 dose

HPV (Human papillomavirus)

N/A

Hepatitis A

2 or 3 doses if not previously immunized when requested, or at risk

Hepatitis B

3 doses if not previously immunized

Haemophilus Influenzae type B

  • 1 dose for patients with asplenia, or sickle cell anemia
  • 3 doses for patients with Hematopoietic Stem Cell Transplant History (HSCT)

Other Recommended Screenings

Body Mass Index (BMI)

Regular screening for all adults

Blood Pressure (Hypertension)

Check at every visit and perform blood pressure screening for hypertension—once every two years for blood pressure less than 120/80 mm Hg, and every year for systolic blood pressure of 120 to 139 mm Hg or diastolic blood pressure of 80 to 89 mm Hg

Cholesterol

  • Screen for lipid disorder (high cholesterol) starting at age 18
  • Regular screenings for men over 35, and women over 45 who are at risk for heart disease
  • Regular screenings for men 18–35, and women 18–45 who have an increased risk for heart disease

Well Visit

Includes personal history, blood pressure, body mass index (BMI), physical exam, preventive screening, and counseling

Annually

Cancer Screenings

Colorectal Cancer

  • Colonoscopy at age 50 and then every 10 years, or
  • Annual fecal immunochemical test (FIT), or
  • Sigmoidoscopy every 5 years plus fecal occult blood test (FOBT) every 3 years, or
  • Annual FOBT

Skin Cancer

Annual total skin exam at discretion of doctor

Breast Cancer (Women)

  • Mammograms every two years from age 50–74
  • After age 75, discuss benefits and limitations with your doctor

Cervical Cancer (Women)

Cytology (Pap Smear) every 3 years age 21–65, or cytology with HPV every 5 years for age 30–65 if both initial tests are negative

Testicular and Prostate Cancer (Men)

Informed decision making regarding prostate-specific antigen screening, or PSA screening, starting at age 40–50 depending on risk

Infectious Disease Screening

Zika Virus

N/A

Chlamydia and Gonorrhea

N/A

HIV

N/A

Syphilis

N/A

Sensory Screenings

Eye Exam

  • Every 2-4 years, age 40–54
  • Every 1-3 years, age 55–64

Hearing Assessment

Unnecessary if asymptomatic

Immunizations

Tetanus, Diphtheria (Td)

1 dose of Td, then Td booster every 10 years

Influenza

1 dose annually

Pneumococcal

Once, even if previously vaccinated

Measles, Mumps, & Rubella (MMR)

1–2 doses recommended for adults who meet the age requirement, lack documentation of vaccination, or lack evidence of past infection

Meningococcal (Meningitis)

1 or more doses if not previously immunized, depending on risk factors and other indicators; 10 or more doses depending on immunity or past vaccinations

Varicella (Chicken Pox)

2 doses 4–8 weeks apart without evidence of immunity

Herpes Zoster (Shingles)

1 dose

HPV (Human papillomavirus)

N/A

Hepatitis A

2 or 3 doses if not previously immunized when requested, or at risk

Hepatitis B

3 doses if not previously immunized

Haemophilus Influenzae type B

  • 1 dose for patients with asplenia, or sickle cell anemia
  • 3 doses for patients with Hematopoietic Stem Cell Transplant History (HSCT)

Other Recommended Screenings

Body Mass Index (BMI)

N/A

Blood Pressure (Hypertension)

N/A

Cholesterol

N/A