For men and women age 50 and older


COVID-19 Recommended for everyone ages 6 months and older29
Flu, annual Recommended2
Hepatitis A For individuals with risk factors; for individuals seeking protection3
Hepatitis B Recommended 2, 3, or 4 dose series depending on vaccine or condition for ages 19 to 59.For individuals with risk factors; for individuals seeking protection.4
Meningococcal For individuals with risk factors present8
MMR (measles, mumps, rubella) Once, without proof of immunity or if no previous second dose5
Pneumococcal (pneumonia) Recommended for individuals 65 and older; and individuals under age 65 with risk factors7
Td booster (tetanus, diphtheria) Recommended once every 10 years15
Varicella (chicken pox) Recommended for adults without evidence of immunity; 2-dose series 4–8 weeks apart10
Zoster (shingles) Two-dose series of RZV 2-6 months apart



AAA (abdominal aortic aneurysm) For ages 65-75 who have ever smoked, one-time screening for AAA by ultrasonography19
Alcohol misuse Screening for unhealthy alcohol use and behavioral counseling as needed for individuals 12 years and older
Blood pressure, height, weight, BMI, vision, and hearing At annual exam. This includes coordination of preventive services.
BRCA risk assessment and genetic counseling/testing Women with a positive result on the risk assessment tool or have a family history of breast, ovarian, tubal, or peritoneal cancer are recommended to receive genetic counseling and/or genetic testing.20
Breast cancer Recommended biennial screening mammography for women aged 40 years and older
Breast cancer medication use Recommended prescription or risk-reducing medications to women age 35 and older who are at increased risk for breast cancer and at low risk for adverse medication effects
Cardiovascular disease Statin use for primary prevention for adults aged 40 to 75 years who have one or more risk factors. Statin use for primary prevention in adults35
Cervical cancer Recommended screening every 3 years with cervical cytology alone, every 5 years with high risk HPV testing alone, or every 5 years with high risk HPV testing in combination with cytology.
Chlamydia and gonorrhea Screening for all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection11
Colorectal cancer Screening for adults ages 45-759,21
Depression/anxiety Screening for depression and anxiety in all adults
Diabetes/prediabetes Screening for prediabetes and type 2 diabetes in adults ages 35 to 70 years who are overweight or obese22
Domestic violence and abuse Screening for intimate partner violence (IPV) in women of reproductive age and provide or refer women to ongoing support services34
Drug misuse Screening for unhealthy drug use for individuals 12 years and older25
Fall prevention Recommended exercise interventions for adults ages 65 or older at increased risk28
Healthy diet and physical activity Behavioral counseling interventions to promote a healthy diet and physical activity for individuals 18 years an older with risk of cardiovascular disease or a diagnosis of hypertension, dyslipidemia, metabolic syndrome, etc.27
Hepatitis C Screening for HCV infection in persons at high risk of infection30
HIV Screening for HIV infection for all adolescents and adults ages 15 to 65. Younger adolescents and older adults who are at increased risk of infection should also be screened. Recommend preexposure prophylaxis (PrEP) to persons at high risk of HIV acquisition. Screening for all adolescents and adults ages 12–65. Recommend preexposure prophylaxis (PrEP) to persons at high risk of HIV acquisition.16
Hypertension Screening for hypertension in adults 18 years and older with office blood pressure measurement (OBPM). Blood pressure monitoring outside the clinical setting is recommended to confirm diagnosis.
Latent tuberculosis infection (LTBI) Screening for individuals at increased risk of infection33
Lung cancer Screening for lung cancer annually for individuals ages 50 to 80 years of age with a smoking history of 20 years or more or who have quit within 15 year using low-dose computed tomography31
Obesity Screening, counseling, and behavioral interventions and offer or refer to comprehensive intensive behavioral intervention to promote improvements in weight status
Osteoporosis Recommended routine screening for osteoporosis with bone measurement testing for women 65 years and older and women younger than 65 who are at increased risk13
Sexually transmitted infections Behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections (STIs).26
Syphilis Screening for individuals at increased risk for infection12
Tobacco use and cessation Screening all adults about tobacco use, advise them to stop using tobacco, provide behavioral interventions, FDA approved pharmacotherapy for cessation to nonpregnant adults who use tobacco
Urinary incontinence Annual screening for women.


For heart health, adults should exercise regularly (at least 30 minutes a day on most days) which can help reduce the risks of coronary heart disease, osteoporosis, obesity, and diabetes. Consult your physician before starting a new vigorous physical activity. 


Topics you may want to discuss with your doctor


  • Eat a healthy diet. Limit fat and calories. Eat fruits, vegetables, beans, and whole grains every day. 
  • Optimal calcium intake is estimated to be 1,500 mg/day for postmenopausal women not on estrogen therapy.
  • Vitamin D is important for bone and muscle development, function, and preservation.

Sexual health 

  • Sexually transmitted infection (STI)/HIV prevention,16 practice safer sex (use condoms) or abstinence. 
  • Prior to beginning PrEP, the following tests are recommended: periodic HIV testing, serologic testing for hepatitis viruses B and C, periodic serum creatinine testing, periodic pregnancy testing, and periodic screening for sexually transmitted bacterial infections. 
  • Ongoing follow-up, counseling, and monitoring every 3 months is covered without cost sharing.

Mental health and substance use disorder

  • Stop smoking. Limit alcohol consumption. Avoid alcohol or drug use while driving. 
  • Mental health and substance use disorders is defined as those conditions listed in the most recent edition of the World Health Organization (WHO) International Classification of Diseases or in the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders.

Dental health

  • Floss and brush with fluoride toothpaste daily. Seek dental care regularly. 

Other topics for discussion

  • Fall prevention. 
  • Possible risks and benefits of hormone replacement therapy (HRT) for post-menopausal women. 
  • The dangers of drug interactions.
  • Physical activity.
  • Glaucoma eye exam by an eye care professional (i.e., an ophthalmologist, optometrist) for those age 65 and older.

Download the complete preventive health guidelines (PDF, 271 KB)