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Preventive Services Guidelines

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

The preventive services listed in the following tables are not necessary at every periodic visit (except in accordance with the American Academy of Pediatrics (AAP) guidelines). The services may be performed during visits for other reasons (for example, illness visits or chronic disease check-ups). This list does not include reviews of body systems and history relevant to lifestyle in a routine physical, as they are assumed to be covered during the physical.

Refer to the AAP website for:

Refer to the CDC website for:

Additional information on preventive service guidelines for pregnant members is provided under Benefits > Maternity > Pregnancy Care Management.

Last Updated: 08/09/2024