Preventive Services | Fidelis Care (2024)

Children Under Age 19

  • Alcohol, tobacco, and drug use assessments for adolescents
  • Anemia screening, metabolic screening, Cystic fibrosis screening, and Tuberculosis Testing
  • Anxiety Screening for children ages 12-18
  • Autism screening for children 18-36months
  • Behavioral assessments
  • Bilirubin concentration screenings for newborns
  • Blood pressure screening
  • Depression screening for children beginning routinely at age 12
  • Developmental screening for children under age 3
  • Dyslipidemia screening for all children once between ages 9-11 and once between ages 17-21, and for children at higher risk of lipid disorders
  • Gonorrhea preventive medication for the eyes of all newborns
  • Hearing screening
  • Height, weight, and body mass index (BMI) measurements
  • Hemobloginopathies or sickle cell screening
  • Hepatitis B screening
  • Hepatitis C screening for children ages 11-18, with evidence or indication of risk activity(effective May 3, 2024)
  • HIV Screening for adolescents at higher risk
  • Hypothyroidism screening for newborns
  • Lead screening
  • Obesity screening and counseling
  • Phenylketonuria (PKU) screening for newborns
  • Prophylactic ocular topical medication for all newborns
  • Sexually transmitted Infection (STI) prevention counseling and screening for adolescents at higher risk
  • Tuberculin testing for children at higher risk of tuberculosis
  • Vision Screening

Immunizations:

  • Diphtheria, tetanus, pertussis (whooping cough)
  • Haemophilius influenza type b
  • Hepatitis A
  • Hepatitis B
  • Human Papillomavirus (HPV)
  • Inactivated Poliovirus
  • Influenza (flu shot)
  • Measles, Mumps, Rubella (MMR)
  • Meningococcal
  • Pneumococcal
  • Rotavirus
  • Varicella (Chickenpox)

Source: healthcare.gov

Adults

Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked

Alcohol misuse screening and counseling

Aspirin Use to Prevent Cardiovascular Disease for high risk adults 40 to 59

Blood pressure screening

Colorectal cancer screening for adults 45to 75

Depression screening

Diabetes (Type 2) screening for adults 35 to 70 years who are overweight or obese

Diet counseling for adults at higher risk for chronic disease

Hepatitis B screeningfor people at high risk, including people from countries with 2% or more Hepatitis B prevalence, and U.S.-born people not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence.

Hepatitis C screening(effective May 3, 2024)

High blood pressure screening every year for 40 and above and those at high risk and every 3-5 years for those 18 and older

HIV screening for everyone ages 15 to 65, and other ages at increased risk

Immunization vaccines for adults — doses, recommended ages, and recommended populations vary:

  • Diphtheria
  • Hepatitis A
  • Hepatitis B
  • Human Papilomavirus (HPV)
  • Influenza (flu shot)
  • Measles
  • Meningococcal
  • Mumps
  • Pertussis
  • Pneumococcal
  • Rubella
  • Tetanus
  • Varicella (Chickenpox)

Preexposure prophylaxis (PrEP) with effective antiretroviral therapy to persons who are at high risk of HIV acquisition ages 12 and up

Prostate cancer screening for men ages 40 and above

Sexually transmitted infection (STI) prevention counseling for adults at higher risk

Screening for anxiety disorders in adults, including pregnant and postpartum persons

Statin preventive medication for adults 40 to 75 at high risk

Tuberculosis screening for certain adults without symptoms at high risk

Source: healthcare.gov

Adults Over 50

Adults over 50 should receive all preventive screenings for adults, as well as:

Colorectal cancer screening for adults 45to 75

Fallprevention (with exercise or physical therapy and vitamin D use) for adults 65 years and over, living in a community setting

      Lung cancer screening for adults 55-80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years

      Hepatitis C screening(effective May 3, 2024)

      Source: healthcare.gov

      Women

      Breast cancer genetic test counseling (BRCA)for women at higher risk

      Breast Cancer Medications for Risk Reduction for women who are at increased risk for breast cancer and at low risk for adverse medication effects

      Cervical cancer screening

      Pap test (also called a Pap smear) every 3 years for women 21 to 65

      Human Papillomavirus (HPV) testing for ages 21 to 29

      Human Papillomavirus (HPV) testing for ages 30 to 65 with testing every 3 years (cervical cytology), every 5 years (hrHPV testing), or every 5 years with (hrHPV testing in combination with cytology)

      Chlamydia infection screeningfor younger women and other women at higher risk

      Diabetes screeningfor women with a history of gestational diabetes who aren’t currently pregnant and who haven’t been diagnosed with type 2 diabetes before

      Domestic and interpersonal violence screening and counselingfor all women

      Gonorrhea screeningfor all women at higher risk

      HIV screening and counselingfor sexually active women

      Hepatitis C screening(effective May 3, 2024)

      Osteoporosis screeningfor women over age 60 depending on risk factors

      Syphilis screeningfor women at increased risk

      Tobacco use screening and interventions

      Urinary incontinence screeningfor women yearly

      Well-woman visitsto get recommended services for women under 65

      Source: healthcare.gov

      Women who are pregnant, or may become pregnant

      • Anemia screeningon a routine basis
      • Asymptomatic Bacteriuria screening
      • Breastfeeding comprehensive support and counselingfrom trained providers, and access to breastfeeding supplies, for pregnant and nursing women
      • Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, as prescribed by a health care provider for women with reproductive capacity (not including abortifacient drugs). This does not apply to health plans sponsored by certain exempt “religious employers.”Learn more about contraceptive coverage.
      • Expanded tobacco intervention and counselingfor pregnant tobacco users
      • Folic acidsupplements for women who may become pregnant
      • Gestational diabetes screening for women at or after 24 weeks of pregnancy and those at high risk of developing gestational diabetes
      • Gonorrhea screeningfor all women at higher risk
      • Hepatitis B screeningfor pregnant women at their first prenatal visit
      • Hepatitis C screening during each pregnancy(effective May 3, 2024)
      • HIV infection screening
      • Preeclampsia prevention and screeningfor pregnant women with high blood pressure
      • Rh incompatibility screening follow-up testing for women at higher risk
      • Syphilis screening
      • Urinary tract or other infection screening

      Source: healthcare.gov

      Preventive Services | Fidelis Care (2024)
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