Children's Preventive Care

Your Children’s Preventive Care and Physicals

Getting your kids to their physicals and checkups, where they can get covered children’s preventive care and screenings, helps them be their healthiest. It’s important not only that you know what’s recommended for their ages and what they need to stay up to date, but also that you get them to the doctor for this on the right schedule.

What Happens at Their Physical

Your child needs to have regular wellness visits with their doctor to focus on their development, health, and wellness. At the appointment, some of the basics your doctor will cover are:

  • Checking that your child is developing at a healthy rate and tracking their health information and history
  • Getting a physical exam
  • Staying up to date with their preventive care
  • Getting education and counseling
  • If needed, setting health goals

Visit Schedule

Your baby needs to go to well-baby visits at:

  • 1 month old
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old

Children need to visit their doctor at:

Adolescents and teens should visit the doctor at least once a year:

Choose a visit from the lists above to learn more about what will happen at that visit.

Children’s Preventive Care

Certain children’s preventive care and screenings are always covered, depending on timing and what your doctor recommends.

Newborns

  • Gonorrhea preventive medication
  • Hearing screening
  • Hemoglobinopathies or sickle cell screening
  • Hypothyroidism screening
  • Phenylketonuria (PKU) screening

Babies and Small Children

0 to 11 months
  • Behavioral assessment
  • Blood pressure screening
  • Height, weight, and body mass index (BMI) measurements
  • Medical history
  • Tuberculin testing
  • Oral health risk assessment
  • Iron supplements for children ages 6 to 12 months at risk for anemia

Children

1 to 4 years
  • Behavioral assessment
  • Blood pressure screening
  • BMI measurements
  • Medical history
  • Tuberculin testing
  • Oral health risk assessment
  • Iron supplements for children ages 6 to 12 months at risk for anemia
  • Autism screening for children at 18 and 24 months
  • Developmental screening for children under age 3
5 to 10
  • Behavioral assessment
  • Blood pressure screening
  • BMI measurements
  • Medical history
  • Tuberculin testing
  • Oral health risk assessment

Adolescents/Teenagers

11 to 14
  • Behavioral assessment
  • Blood pressure screening
  • BMI measurements
  • Medical history
  • Tuberculin testing
  • Hepatitis B screening for adolescents at high risk
  • Alcohol and drug use assessments
  • Cervical dysplasia screening for sexually active females
  • Depression screening
  • Sexually transmitted infection (STI) prevention
  • counseling and screening for adolescents at higher risk
15 to 17
  • Behavioral assessment
  • Blood pressure screening
  • BMI measurements
  • Medical history
  • Tuberculin testing
  • Hepatitis B screening for adolescents at high risk
  • Alcohol and drug use assessments
  • Cervical dysplasia screening for sexually active females
  • Depression screening
  • Sexually transmitted infection (STI) prevention
  • counseling and screening for adolescents at higher risk

General

  • Obesity screening and counseling
  • Hematocrit or hemoglobin screening
  • Lead screening for children at risk of exposure
Dental and Vision

Plans that meet the Affordable Care Act’s essential health benefits also include some vision and dental coverage:

  • Dental exam every 6 months
  • Cleanings, fluoride treatments, and X-rays
  • Fluoride chemoprevention supplements for children without fluoride in their water source
  • Yearly vision screening for all children
  • Most people can get help with their child’s glasses or contacts on their plan too

You can also buy extra dental coverage to add to your plan for a low monthly cost.

Immunizations

Vaccines, or shots, are an important part of your children’s preventive care. These should be delivered on a specific schedule to make sure your kids are protected at every age. Shots that are listed more than once at different ages include multiple doses to finish the vaccine.

Newborn
  • Hepatitis B
1 to 2 month
  • Hepatitis B
2, 4, and 6 months
  • Diphtheria, Tetanus, Pertussis (DTaP)
  • Haemophilus influenza type b (Hib)
  • Polio
  • Pneumococcal conjugate
  • Rotavirus
6 to 18 months
  • Hepatits B
  • Polio
  • 2 flu shots (6 months or older)
12 months and older
  • 12 to 15
    • Hib
    • Pneumococcal conjugate
    • Measles, Mumps, Rubella (MMR)
    • Varicella (Chickenpox)
  • 12 to 18
    • DTaP
  • 12 to 23
    • Hepatitis A
18 months and older
  • Hepatits A
  • Flu shot once a year
4 to 6 years
  • DTaP
  • Polio
  • MMR
  • Varicella
  • Flu shot once a year
11 to 12
  • Tdap (booster to DTaP)
  • Meningococcal A, C, W, and Y (MenACWY)
  • Human Papillomavirus (HPV) – 2 doses
  • Flu shot once a year
16 years
  • MenACWY
  • Flu shot once a year
18 years
  • Meningococcal B (MenB) – Talk to your child’s doctor to find out if they need this vaccine.
  • Flu shot once a year

Visit the Centers for Disease Control and Prevention (CDC) and enter your child’s birth date to get a customized shot schedule.

Know What’s Covered

Learn more about what immunizations are covered for your children. And log in to Your Health Alliance or search by your or your child’s member number to see what children’s preventive care your family’s plan covers.

You can use our general preventive care guidelines and prescription drugs to get an idea of what our plans cover.

If you’re not sure what’s covered and what you’ll need a preauthorization for, you can check your coverage and preauthorization lists at Your Health Alliance.

Now that you’re ready for your children’s physicals, log in to Your Health Alliance if you need to set a Primary Care Provider (PCP) for your child or start searching for doctors in our network.

3 thoughts on “Your Children’s Preventive Care and Physicals”

Leave Us Your Thoughts