Preventive Care

Click here to see information on preventive care for Hoosier Healthwise members.

Click here to see information on preventive care for MDwise Marketplace members.


What is a preventive care visit? You may have heard the saying “an ounce of prevention is worth a pound of cure.” Instead of treating a medical illness after you have had it for a while, preventive care focuses on preventing disease and staying healthy. This may include things like:
 
  • Immunizations (shots).

  • Yearly check-ups.

  • Cervical Cancer Screening.

  • Colorectal Cancer Screening.

  • Prostate Cancer Screening.

  • Breast exams.

  • Dental exams.
  • Eye care exams.


Treating a disease in its earliest stages is much easier. Don’t wait until you have been sick for a long time. The earlier your doctor can find and treat an illness, the better your chance of getting well. Even if you feel great, you may have a serious illness. You may not have signs or symptoms. For example, most people can’t tell they have high blood pressure. You won’t know unless you go to your doctor to be checked. Blood tests, x-rays and other routine screenings are the best ways to find early warning signs of a serious illness. If a condition runs in your family, like breast cancer, it’s even more important that you get screened early and often. This will help you to stay healthy.

Please remember that all preventive care you get is covered by MDwise and we encourage you to get all recommended preventive services.

Make sure you see your doctor regularly. Follow his or her instructions.  The following chart lets you know what care or screening you may need for someone your age and gender. Your doctor will also know what preventive services you need.
 

Preventive Care for Adults

Preventive Care Service Male age 19–20 Female age
19–20
Male age 21–34 Female age
21–34
Male age 35–49 Female age
35–49
Male age 50–64 Female age
50–64
Annual Physical Exam
Blood Glucose Screening*
Tetanus-Diptheria Booster
Pap Smear*        
Chlamydia Screening     Under 25        
HPV Vaccine**   Under 27        
Cholesterol Testing*         45+
Screening Mammogram*              
Colorectal Cancer Screening            
Flu Shot*
Pneumococcal vaccine*
Dental Exams***
Eye Exams***


*Annual or as instructed by your doctor based on your disease/history specific condition.
**Males should get the Gardasil HPV vaccine; Females should get either the Gardasil or Cervarix HPV vaccine.
***For HIP members, if coverage is included in your HIP plan.
Click here to see if dental is covered in your plan. Click here to see if vision is covered in your plan.

If you are in HIP Basic or HIP State Plan Basic and get the preventive care you need and if you have any money left over in your POWER Account at the end of the year you will earn a State Discount Percentage off of HIP Plus coverage. If you pay for plus you will get a discount off your HIP Plus POWER Account Contribution for the rest of your current benefit period as long as you maintain plus status.​

If you are in HIP Basic or HIP State Basic and DO NOT get the preventive care that you need, any money left over at the end of the year will not roll over to the next year. If you are in HIP Plus or HIP State Plus and you get any recommended preventive service every year, you will be eligible to have your roll over money doubled. This may result in much lower or no contributions due the next year. If you DO NOT get the preventive care you need, part of the money left in your POWER Account will be rolled over, but it will not be doubled.

For checkups for children you might earn points through MDwiseREWARDS. To find out if you can earn these rewards click here. Another benefit you may qualify for is RIDEwise. This is a MDwise service that provides rides to your doctor visits. Click here to learn more.

Additional Resources:

Vaccine Resources from the Centers for Disease Control and Prevention