TrueNorth Explains Preventive Care
posted by TrueNorth Employee Benefits on Tuesday, August 23, 2016
Did you know that the United States spends more annually on health care than any other country? However, is committed to helping you spend less on your own health care, and proper prevention is the best place to start.
As the old saying goes, “an ounce of prevention is worth a pound of cure.” Consider these statistics from the U.S. Centers for Disease Control and Prevention (CDC):
- Heart disease is the leading cause of death for both men and women in the United States.
- Obesity is reaching monumental proportions; about one-third of adults in America are considered obese.
- Seriously overweight employees spend more days at the doctor and in the hospital each year than healthy individuals, and they are more likely to call in sick to work.
- Cigarette smoking is the leading cause of preventable death in the United States.
- Breast cancer is the leading cause of death among American women in their forties. Early detection is key to saving lives; when detected at an early stage, the 5-year survival rate is significantly higher than for breast cancer that has progressed to later stages.
Prevention Works When Used
Researchers have estimated that preventable illness makes up approximately 70 percent of the burden of illness and the associated costs. Studies have also shown that when used, the outcomes of wellness benefits prove positive.
For example, getting proper immunizations and health screenings help prevent disease or detect it early, which can help you avoid significant health problems and medical expenses in the future.
In addition, healthy lifestyle choices like not smoking, exercising regularly and eating nutritiously can improve your overall health and help prevent many future medical conditions.
Unfortunately, many employees do not take advantage of the valuable preventive services available to them. Many preventive services, such as screenings and immunizations, are available to you free of charge through your health plan. See the following page for a summary of covered services.
In addition, also see the preventive care recommended guidelines to find recommended screenings, immunizations and counseling services by age group.
Preventive Care Recommended Guidelines
The following are preventive care recommendations for the various stages and ages of life. These recommendations are based on several findings according to the following organizations:
Basic, Select & Premier Plans Medical Covered Expenses
Benefit | PPO | Non-PPO |
Routine Care (to age 6) - Lab & X-ray
- Immunizations
- Hearing Exams & Testing
- Qualified Practitioner
| 100% | 100% |
Routine Care (ages 6 and older) - Lab & X-ray
- Hearing Exams & Testing
- Qualified Practitioner
| 100% | 100% |
Mammograms (not included in calendar year) | 100% | 100% |
Pap Smears | 100% | 100% |
Prostate Antigen Testing (not included in calendar year) | 100% | 100% |
Preventive Care Recommendations for Children Aged 0 - 18 Years
Screening | Appropriate Times | Office Visits | At 3-5 days, 1-2 weeks, 2, 4, 6, 9, 12, 15, 18, and 24 months, then annually | Newborn Screening: PKU, Sickle Cell, Hemoglobinopathies & Hypothyroidism | Prior to hospital discharge, no later than 6 days | Hearing | At birth, then again at ages 4, 5, 6, 8, 10, 12, 15 and 18 years | Height, Weight, and Head Circumference | Height, weight, and head circumference should be measured at birth, at 2-4 weeks, and at 1,2,4,6,9,12,15,18 and 24 months of age. Height and weights should also be measured annually beginning at age 3. | Lead Level | At ages 1 and 2 years, additional testing until age 6 if doctor recommends. | Eye Screening | By age 3 if no previous vision problem has been detected, then periodically. Visual acuity tests at age 3, 4, 5, 6, 8, 10, 12, 15, and 17 years. | Blood Pressure | At age 3, then annually through age 18 | Dental Health | At age 3, or when all of the baby teeth have come in; then periodically through age 18 | Alcohol Use | Between ages 11 and 18 | | |
Immunizations | Appropriate Times and Dosage | Hepatitis B (HBV) | 3 doses: administer at birth, 1-2 months and 6-8 months | Rotavirus (RV) | 2-3 doses (depending on brand): administer at 2, 4 and 6 months (if needed) | Polio (IPV/OPV) | 4 doses: administer at 2, 4, 6-18 months and 4-6 years | Haemophilus Influenzae type b (Hib) | 4 doses: administer at 2, 4, 6, and 12-15 months | Diptheria, Tetanus & Pertussis (DTaP, Td) | 5 doses: administer at 2, 4, 6, 15-18 months, and 4-6 years; administer again at 11-12 years | Measles, Mumps, Rubella (MMR) | 2 doses: administer at 12-15 months and at 4-6 or 11-12 years | Varicella (VZV) (Chickenpox) | 2 doses: administer at 12-15 months and 4-6 years | Influenza | Annually for ages 6 months and older | Hepatitus A (HepA) | 2 doses: administer 6-18 months apart, first dose at 1-2 years, if recommended for your child | Human Papillomavirus (HPV) | 3 doses: both boys and girls at 11-12 years | Meningococcal | 2 doses: administer at 11-12 years, booster at age 16 | Preventive Care Guidelines for Adults Aged 19-65+ Screening | Appropriate Times | Office Visits | Annually | Blood Pressure | Periodically | Height and Weight | Periodically | Alcohol Use | Periodically | Prostate Cancer Screening | Men: periodically after age 50 | Testicular Cancer Exam | Men: monthly self exam; also included as part of yearly complete exam | Cholesterol | Every 5 years after age 20 | Mammography | Women: every 1-2 years after age 40 | Pap Test | Women: every 1-3 years starting at age 21 | Sigmoidoscopy | Every 5-10 years after age 50 | Fecal Occult Blood | Yearly after age 50 | Oral Health | 1-2 times a year | Eye Health | Every 2 years | Skin Health | Mole self exam monthly starting at age 20 | | | Immunizations | Appropriate Times | Tetanus-Diphtheria (Td) | Booster every 10 years | Varicella (VZV) (Chickenpox) | 2 doses, if not vaccinated as a child | Human Papillomavirus (HPV) | 3 doses: administer between 19 and 26 years, if not previously vaccinated | Measles, Mumps, Rubella (MMR) | 1-2 doses from 19-55 years | Pneumococcal | One dose if 65+ | Influenza | Annually for all adults | Zoster | 1 dose after age 60 | TrueNorth is here for you every step of the way TrueNorth offers businesses of every size comprehensive solutions to meet their business needs and those of their employees. If you are in need of business solutions or are looking to start a business of your own, please call TrueNorth. Our Employee Benefits division would be happy to assist you in providing the well-being of both you and your staff. Call us today at 1-800-798-4080. | |
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TrueNorth offers businesses of every size comprehensive solutions to meet their business needs and those of their employees. If you are in need of business solutions and are looking for ways to protect and maximize your workforce, look to TrueNorth. Our Employee Benefits Division can assist you in providing for the well-being of both you and your staff. Call us today at 1-800-798-4080.
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