Men's Preventive Care

  • preventive careEven if you feel fine, regular checkups, at least every 2 years, are important to maintaining good health. Preventive care is covered under most plans at 100 percent, which means no out-of-pocket cost to you. Even employment physicals can be covered as preventive. However, if you have pain or other symptoms, the visit could be billed as diagnostic, which is subject to copay and deductible.

    What happens?

    Just like when you were a kid, your doctor will check your vitals, like blood pressure, heart rate, respiration, and temperature. The adult version of the checkup might also include a check of the testicles, penis, and prostate, and for hernia.

    The doctor might order lab tests, including blood work and urinalysis. Depending on your family history, age, and other risk factors, you might be screened for cholesterol, blood-sugar levels, and sexually transmitted diseases. Colonoscopy is another common preventive procedure.

    Use the Find a Doctor tool to make sure the lab your doctor uses is in network. We recommend bringing a list or the Premera app to your appointment to confirm with your doctor.

    The preventive exam is also the place to get vaccines, starting with the human papilloma virus (HPV) vaccine. This is covered and recommended between ages 10 and 21. It's a good idea to get a flu shot every year along with any vaccines recommended for you.

    Urination

    Difficulty urinating, frequent urination, or a weak urine stream can be signs of an enlarged prostate gland. This is often caused by benign prostatic hyperplasia or less commonly, prostate cancer. Talk to your doctor about tests and treatment options.

    Personal history

    The checkup is also a good time to talk about personal risks and history. For example, if you are or have been a smoker, your doctor might recommend an aortic ultrasound, which is covered at 100 percent on most plans, but must be pre-approved. Your in-network healthcare provider can request this on your behalf.

    Talk with your doctor if you have personal concerns. For example, mammograms are not typical for men, but if you have a family history of breast cancer, the screening might be appropriate for you and is covered.


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  • Benefits under your health plan may differ, so refer to your benefit booklet for information on what your specific health plan covers.

    Your health plan covers preventive care services as required by state and federal law. For more information, please review the "A" and "B" rated services on the United States Preventive Task Force, immunizations recommended by the Centers for Disease Control and Prevention and preventive care and screening recommended by the Health Resources and Services Administration. See the list on healthcare.gov.