Preventive screening guide for UPMC Health Plan members

A mature adult woman is on a routine medical appointment. Her health care provider is a black woman. The patient sits on the examination table in the clinic. She is smiling at the doctor. The doctor is checking the patient's blood pressure.

When and Where to Do Preventive Screenings

Our preventive screening services already cover you as a member of the UPMC health plan—but how do you know which screenings you need? Here is a list to help you find the right one for you.


everyone

visit well

Per year

visit well is an essential preventive service. Your primary care provider (PCP) will discuss your health with you and review basic measures such as:

blood pressure

Per year

Blood pressure measures the pressure of blood against arteries. High blood pressure (HBP) can lead to serious diseases such as heart disease. The most common risk factors for HBP were age, race, and chronic kidney disease.

blood sugar

Per year

Knowing your blood sugar levels is important. They vary based on your eating habits, physical activity habits, alcohol consumption and stress. Too much glucose in the blood can lead to diabetes.

cholesterol screening

annually (or as recommended)

Cholesterol screening helps check your risk of heart disease, stroke, and poor circulation. Cholesterol is measured with a blood test.

BMI

as required

body mass index (BMI) is a measure of your health and potential risk. It takes height and weight into account.

Flu vaccine

Per year

Healthy people can still get the flu and spread it to others. The U.S. Centers for Disease Control and Prevention (CDC) urges everyone to get a flu shot every year. The UPMC health plan covers the cost of flu shots for all members.We encourage you to get your free flu shot This season!

Mental Health

as required

Your mental health is an important part of your well-being.you should be screened depressed, anxiety, or other mental health symptoms if you feel it is necessary. UPMC Health Plan offers programs and services to help you Manage your behavioral health. Discuss any problems you may have with your PCP.


people over 50 years old

Colorectal Cancer Screening

Annually (FIT test), five years (sigmoidoscopy) or 10 years (colonoscopy) – everyone ages 45-75

Colorectal cancer is easier to treat when found early.there are several options colorectal cancer show. Discuss which tests are right for you with your doctor.

Breast cancer screening (mammogram)

Every two years – people assigned female at birth (AFAB) and aged 50-74
According to other people’s needs

Breast cancer screening can help you find breast cancer early. Screening every two years is recommended for the AFAB population aged 50-74. Transgender women, cisgender men, and intersex people may also need breast cancer screening based on individual risk factors. Check with your PCP to see what is recommended for you. understand what to expect.

Osteoporosis Screening

One time – AFAB 65 and over (or under age 65 (if increased risk)

A one-time DEXA scan uses ultrasound to measure bone density. DEXA scans are quick and painless. They do low-dose x-rays of the hip and spine to help you see if you need treatment.

lung cancer screening

Once a year if at risk

This screen detects lung cells that may be cancerous. Talk to your doctor about having this test if you:

  • 55-80 years old
  • have a history of smoking
  • quit smoking within the past 15 years

vision and hearing

Per year

Talk to your doctor about changes in your vision and hearing as you age. If you have a prescription for lenses, make sure to have your vision checked regularly. Your PCP will tell you how often to have your hearing checked.


21 and over

cervical cancer

Every three years (Pap test) – AFAB for those aged 21-65

Every five years (Pap test with primary hrHPV) – AFAB population ages 30-65

AFAB people with a uterus should have a Pap test every three years or a Pap test and hrHPV test every five years until age 65.we know cervical cancer screening May be uncomfortable. However, it is important to make time for this screening. early detectioncervical cancer is treatable.

prediabetes

Per year

prediabetes Usually there are no symptoms. It’s best to discuss prediabetes with your doctor if you have any of the following conditions:

  • BMI over 25
  • family history of diabetes
  • HBP or cholesterol

Remember, the UPMC Health Plan provides health coaching to members at no cost. A health coach can help you set and achieve health goals that can help you reduce your risk.

For more information on screenings, check out Preventive Screening 101. For a complete list of preventive services covered by the UPMC health plan, please call the number on your member ID card or view Preventive Services Reference Guide.


Need help finding care?

The UPMC Health Plan offers a variety of convenient choice Provide members with access to coverage care and screenings.

Do you have questions or concerns about your coverage?our Health Concierge The team can help.

To contact the Healthcare Concierge, call the number on your member ID card Monday through Friday, 7am-7pm or Saturday, 8am-3pm You can also log in by minehealth online.


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