What you can do to stay healthy! Eat well balanced meals ... HowToStay... · What you can do to...
Transcript of What you can do to stay healthy! Eat well balanced meals ... HowToStay... · What you can do to...
Medicare Advantage (HMO SNP)
Preventive Health Guidelines 2012
HOW TO STAY HEALTHY
Sources for all information in this document: Centers for Medicare and Medicaid Services, U.S. Preventive Services Task Force and Centers for Control and Disease Prevention (2012).
L.A. Care Health Plan is a Coordinated Care Plan with a Medicare Advantage contract and a contract with the California Medicaid program. LA0730 04/12
What you can do to stay healthy! Don’t smoke or quit smoking
Eat well balanced meals
Exercise
Get needed tests/exams
Keep a healthy weight
See your doctor on a regular basis and after hospitalizations
Spend time with family and friends
Stay connected with people
Well Care Guidelines for Adults*
Tests/Exams 19 to 39 Years 40 to 64 Years 65+ YearsInitial “Welcome to Medicare Visit” One time (within 12 months of the start of Medicare benefit)
Abdominal Aortic Aneurysm(Screening Ultrasound)
One-time screening, if referred and part of the “Welcome to Medicare Visit” or if you are at risk
Electrocardiogram (EKG) Screening One-time screening, if referred and part of the “Welcome to Medicare Visit”
“Wellness” Visit: Medical and family history, physical exam,
height, weight, blood pressure, and BMI (a measure for weight concerns)
Every year
Bone Mass Measurements(to check risk for breaking bones) Every 2 years (if at risk)
Cardiovascular Screening: (to check risk for heart attack or stroke by
checking cholesterol, lipids, and triglyceride levels) Every 5 years
Colon and Rectal Cancer Screening (to check for colorectal cancer)
Age 50 and older Your doctor will talk to you about having one or more of these tests:• FecalOccultbloodtest[a test to see if there is blood in your stool
(bowel movement)]: every year • FlexibleSigmoidoscopy(a test of the lower part of your colon):
every 4 years (after the last Flexible Sigmoidoscopy) or every 10 years (after a previous Screening Colonoscopy) • ScreeningColonoscopy(a test of a larger part of your colon):
every 10 years • BariumEnema:every4years(every 2 years if at high risk)
Diabetes Screening(to check for diabetes and pre-diabetes) If at risk
Diabetes Self-Management Training If you have diabetesGlaucoma Test
(to measure eye pressure) Every year (if at risk)
Human Immunodeficiency Virus (HIV) Screening
(to check for the virus that causes HIV infection)Every year (if at risk or requested)
MedicalNutritionTherapy If you have diabetes or kidney disease or kidney transplant in the last 3 yearsTobacco Cessation
(Stop smoking and tobacco use) 8 visits during a 12-month period
* Your doctor may recommend other screenings or immunizations (shots), if you are at high risk.
This information is available for free in other languages. Please contact our customer service number at 1-888-522-1298 for additional information. TTY/TDD users should call 1-866-522-2731. We are available 24 hours a day, 7 days a week (including holidays).
Esta información está disponible de forma gratuita en otros idiomas. Por favor, comuníquese con el departamento de servicios para miembros al 1-888-522-1298 para obtener información adicional. Los usuarios de TTY deben llamar al 1-866-522-2731. Estamos disponibles las 24 horas del día, los 7 días a la semana, (incluso los días festivos).
Plan member materials are available in different languages or formats, including large print, audio, and Braille or upon request.
Los materiales para miembros del plan están disponibles en otros idiomas o formatos como letra grande, audio, y braille a su solicitud.
Member Services toll free24 hours a day, 7 days a week, including holidays.1-888-522-1298 TTY 1-866-522-2731
Nurse Advice Line 24/7 for health questions24 hours a day, 7 days a week.1-800-249-3619 TTY 1-800-854-7784
Websitewww.lacare.org
Other Well Care Guidelines to Stay HealthyTests/Exams 19 to 39 Years 40 to 64 Years 65+ Years
Alcohol Misuse Screening Once a year
Hearing and Vision As recommended
DentalExam As recommended
DepressionScreening Once a year
Obesity Screening and Counseling If you are overweight and have a body mass index (BMI) of 30 or more
Tuberculosis (TB) Test and Risk Screening Recommended for all adults as part of their first checkup Doctors will also screen those at a higher risk for TB
Well Care Guidelines for MenTests/Exams 50+ Years
Prostate Cancer Screening Every Year
Well Care Guidelines for WomenTests/Exams 16 to 39 Years 40 to 64 Years 65+ Years
Breast Cancer Screening (Mammogram an X-ray
of the breasts)
One time baseline screening for ages 35-39, then every year after 40
Cervical and Vaginal Cancer Screening (Pelvic exam and Pap smear
to check for cancer)
Every 24 months or every 12 months if at risk or a previous test showing cancer or an abnormal test in the past 3 years (ages 21-65 as recommended)
Chlamydia Screening [a test for a sexually
transmitted disease (STD)]
To be done regularly for women 16 to 25 years (up to their 26th birthday) and only for women who are at high
risk over 25
If at risk
Osteoporosis (thinning of the bone) As recommended Screening for 65+
Going to your doctor for regular wellness visits helps you stay healthy. This guide
tells you when to go and what needs to be done at these visits. Your doctor is
always a good resource for you and your family. You can ask questions and get
advice about important health topics.
Ask your doctor which tests/exams are right for you.
Immunizations/Shots for Adults*Immunizations (Shots) 19 to 39 Years 40 to 64 Years 65+ Years
HepatitisB(A disease of the liver) If at risk
HumanPapillomaVirus(HPV)(Virus can cause cervical cancer
and genital warts)
For women up to age 26 and men up to age 21, if not immunized before (3
doses)
—
Influenza (Flu)(Influenza or flu virus)
Every year (During flu season in fall or winter)
Measles,Mumps,andRubella (MMR) If born after 1957 (1 or 2 doses) —
Pneumococcal(Bacteria can cause lung or blood infection) — One dose
Shingles (Herpes Zoster)(Virus can cause painful skin rash with blisters) — One dose, starting at
age 60
Tetanus,Diphtheria,Pertussis (Td/Tdap) (Lockjaw tightening of the jaw muscle)
Substitute 1-time dose of Tdap for Td booster; then boost with Td every 10 yrs
Td booster every 10 years
* Your doctor may recommend other screenings or immunizations (shots), if you are at high risk.
•Aspirin
•Asthma
•Bladder Control
•Dental Health
•Depression
•Diabetes
•Drug and Alcohol Problems
• Exercise• Fall Prevention• Family Planning/
Birth Control•How to
Quit Smoking•How to
Stay Healthy•Your Medication(s)
•Mental Health Concerns (memory loss or changes)
•Nutrition
•Pain Management
•Parenting
• Safety Tips
• STDs and HIV
•Violence and Abuse
•Weight Concerns
•Any other concerns you may have
HOW TO STAY HEALTHY
You may also talk to your doctor about: (circle the ones you want to talk to your doctor about)
If you are a new member, see your
doctor right away for your first “Welcome
to Medicare Visit.” Remember to go
for a wellness visit every year. Regular
wellness visits help you stay healthy!