birth to age 2 years

ages 3 to 18

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PREVENTIVE HEALTH GUIDELINES

Are you doing all you can to help yourself stay healthy? We encourage you to contact your doctor to take advantage of the preventive care services that are covered by your health care plan. You may find the guidelines on these two pages to be a good reference for you and your family members. If you are due for a visit with your Primary Care Physician (PCP), make an appointment to discuss preventive care services that are appropriate for you.

AGES 3 TO 10

WELL-CHILD EXAM: once a year for children ages 3 to 5 and every two years for children ages 6 to 10. You should receive advice about your child's safety, health and development. In addition, during this exam your child may receive the following immunizations and screenings, depending on clinical pre sentation and physician assessment.

BIRTH TO 2 YEARS

IMMUNIZATIONS

• Diphtheria, tetanus and acellular pertussis (DTaP): between ages 4 and 6
• Measles, mumps and rubella (MMR): between ages 4 and 6 or 11 and 12, if not received earlier
• Poliovirus (IPV): between ages 4 and 6
• Varicella (chickenpox): if no evidence of prior immunization or chickenpox

WELL-BABY EXAM: at birth, 1, 2, 4, 6, 9, 12, IS, 18 and 24 months. You should receive general

advice on your baby's health-and-development.

Your baby should have an exam and may receive the following immunizations and screenings, depending on clinical presentation and physician assessment.

SCREENINGS

• Blood pressure: at each visit
• Eye exam:- at ages-3, 4, 5, 6, 8 and 10 or as child's PCP advises
• Hearing: at ages 4, 5, 6, 8 and 10 or as child's PCP advises
• Height and weight: at each visit

IMMUNIZATIONS

• Diphtheria, tetanus and acellular pertussis (DTaP): at 2, 4 and 6 months and between IS and

18 months

• Haemophilus influenzae type b (Hib): at 2,4 and 6 months and between 12 and IS months
• Hepatitis B virus (HBV): at birth, 1 to 4 months and 6 to 18 months; or at 1 month, 2 to

4 months and 6 to 18 months

• Measles, mumps and rubella (MMR): between 12 and IS months
• Pneumococcal conjugate (PCV): at 2, 4 and 6 months and between 12 and IS months
• poliovirus (IPV): at 2 and 4 months and between 6 and 18 months
• Varicella (chickenpox): between 12 and 18 months
• Influenza (flu): between 6 and 23 months

AGES 11 TO 18

WELL-PERSON EXAM: once a year during this age range. During this exam, your child may receive the following immunizations and screenings, depending on clinical presentation and physician assessment.

IMMUNIZATIONS

• Hepatitis B virus (HBV): between ages 11 and 18 if not previously immunized
• Measles, mumps and rubella (MMR): if not already immune
• Tetanus-diphtheria (Td) booster: every 10 years
• Varicella (chickenpox): if no evidence of previous immunization or chickenpox

SCREENINGS

• Hearing: as a newborn and as child's PCP advises
• Hemoglobin and hematocrit (Hgb/Hct): once between 9 and 12 months
• Weight, length and head circumference: each visit

SCREENINGS

• Blood pressure: annually
• Eye exam and hearing: at ages 12, IS and 18 or as child's PCP advises
• Height and weight: annually

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