Kaiser Permanente

Preventive Care Schedules: Adults

Women's Schedules

Wellness Schedule Screening Schedule Immunization Schedule

Women 18 to 21


Wellness visit every year
First Pap test for sexually active women starting at age 21.

Chlamydia test every year for sexually active women up to age 24.

HIV test one time during adulthood (through age 64).
Tetanus-diphtheria every 10 years.**

Flu vaccine every year.

Women 22 to 49


Wellness visit at least once every 4 years
Pap test every 3 years through age 29. Starting at age 30, every 5 years with a test that includes HPV screening.

Chlamydia test every year for sexually active women through age 24.*

HIV test one time during adulthood (through age 64).

Mammogram: There are risks and benefits in starting breast cancer screening before age 50. Talk with your doctor. Women who wish to begin screening at age 40 can self-refer to a mammogram location.

Cholesterol check every 5 years, beginning at age 45.

Blood pressure check every 2 years.

Hepatitis C test one time during adulthood if you were born 1945-1965.
Tetanus-diphtheria every 10 years.**

Flu vaccine every year.

Women 50 to 64


Wellness visit every 2 years
Cholesterol check every 5 years.

Blood pressure check every 2 years.

Colon cancer screening: talk with your doctor about the best method for you.

HIV test one time during adulthood (through age 64).

Pap test every 5 years with a test that includes HPV screening.

HIV test one time during adulthood (through age 64).

Mammogram every 1-2 years, based on risk factors for breast cancer.


Abdominal aortic aneurysm (aaa) screening: One-time screening for women aged 55-75 who have a family history of aaa (parent, brother, or sister) and smoked 100 cigarettes or more in their lifetime.

Hepatitis C test one time during adulthood if you were born 1945-1965.
Tetanus-diphtheria every 10 years.**

Flu vaccine every year.

Shingles vaccine once in a lifetime for ages 60 and older (not for persons who are immune suppressed).

Women 65 and older


Wellness visit every year
Cholesterol check every 5 years through age 79; after age 79, discuss with your doctor.

Blood pressure check every year.

Vision and hearing checks every year.

Colon cancer screening: talk with your doctor about the best method for you. Women aged 75 and older, regular screening isn't generally recommended. If you wish to continue screening, talk with your doctor.

Mammogram every 1-2 years based on risk for breast cancer. Women aged 75 and older, discuss optional screening with your doctor.

Bone density test: recommended for women aged 65 and older.

Abdominal aortic aneurysm (aaa) screening: One-time screening for women aged 55-75 who have a family history of aaa (parent, brother, or sister) and smoked 100 cigarettes or more in their lifetime.

Hepatitis C test one time during adulthood if you were born 1945-1965.
Tetanus-diphtheria every 10 years.**

Pneumococcal vaccine, two different vaccines; one time for ages 65 and older.

Flu vaccine every year.

Shingles vaccine once in a lifetime for ages 60 and older (not for persons who are immune suppressed).

Men's Schedules

Wellness Schedule Screening Schedule Immunization Schedule

Men 18 to 21


Wellness visit every year
HIV test one time during adulthood (through age 64). Tetanus-diphtheria every 10 years.**

Flu vaccine every year.

Men 22 to 49


Wellness visit at least once every 4 years
Blood pressure check every 2 years.

Cholesterol check every 5 years, beginning at age 35.

HIV test one time during adulthood (through age 64).

Hepatitis C test one time during adulthood if you were born 1945-1965.
Tetanus-diphtheria every 10 years.**

Flu vaccine every year.

Men 50 to 64


Wellness visit every 2 years
Cholesterol check every 5 years.

Blood pressure check every 2 years.

HIV test one time during adulthood (through age 64) for sexually active men.

Colon cancer screening: talk with your doctor about the best method for you.

Discuss prostate cancer screening with your doctor.

Abdominal aortic aneurysm (aaa) screening: One-time screening for men aged 55-64 who have a family history of aaa (parent, brother, or sister).

Hepatitis C test one time during adulthood if you were born 1945-1965.
Tetanus-diphtheria every 10 years.**

Flu vaccine every year.

Shingles vaccine once in a lifetime for ages 60 and older (not for persons who are immune suppressed).

Men 65 and older


Well-care visit every year
Cholesterol check every 5 years through age 74; after age 75 discuss with your doctor.

Blood pressure check every year

Vision and hearing checks every year.

Colon cancer screening: talk with your doctor about the best method for you. Men aged 75 and older, regular screening isn't generally recommended. If you wish to continue screening, talk with your doctor.

Prostate cancer screening: discuss with your doctor.

Abdominal aortic aneurysm screening (aaa): One-time screening for men aged 65 and older who have a family history of aaa (parent, brother, or sister) or who smoked 100 cigarettes or more in their lifetime.

Hepatitis C test one time during adulthood if you were born 1945-1965.
Tetanus-diphtheria every 10 years.**

Pneumococcal vaccine, two different vaccines; one time for ages 65 and older.

Flu vaccine every year.

Shingles vaccine once in a lifetime for ages 60 and older (not for persons who are immune suppressed).

*Women aged 25 and older who are at high risk for sexually transmitted infections (SDIs), also called sexually transmitted disease, should consider being tested for chlamydia. Ask your doctor what screening schedule is best for you. If you're pregnant, talk to your doctor about the need for chlamydia testing.

**Once in a lifetime, everyone 11 years of age and older should get a tetanus-diphtheria (Td) booster that contains pertussis (Tap).

Coverage may vary by plan. To check your benefits, refer to your coverage agreement.

Clinical review by Travis Abbott, MD
Kaiser Permanente
Reviewed 01/01/2016