More on Medicare Preventive Services
When to start?      At age 19
How often?            Every 1 year
.
Cancer Screening
Cholesterol Screening
Osteoporosis Screening
Immunization
Breast Cancer Screening (Mammogram) 
Cervical and Vaginal Cancer Screening (Pap smear)
When to start?    At age 40
How often?          Every 1 year
Colon Cancer Screening (Colonoscopy)
Prostate Cancer Screening (PSA) 
When to start?  At age 50
How often?       
Colonoscopy - every 10 years
                            Fecal Occult Blood Test - every 1 year
Flu Vaccine
Pneumonia Vaccine
When to start?     At age 65 with no risk factors
                               At age 50 with risk factors (diabetes, congestive heart failure, emphysema, and others)
How often?           Once-in-a-lifetime vaccine
HPV (Papillomavirus) Vaccine
When to start?     Girls and women between age 11-26
How often?           Three intra-muscular injections over a six-month period

HPV vaccine retail price is $120 per injection, $360 per complete vaccination. Insurance companies may not cover the cost of the recommended vaccine. HPV vaccine does not treat existing HPV infection, genital warts, precancer or cervical cancer. Because the vaccine does not protect against all types of HPV, it will not prevent all cases of cervical cancer or genital warts. About 30% of cervical cancer will not be prevented by the vaccine. HPV vaccine is not given in pregnancy.
When to start?   At age 21 or within 3 years of first sexual intercource

How often?        
Until age of 30    Every 1 year using glass slide method or Every 2 years using liquid based method
Age 30 - 30          Every 2-3 years if last 3 PAPs were normal

When to stop Pap?
At 70 years of age, if the last 3 Pap smears were normal and no abnormalities were identified in the
past 10 years, then Pap smears may be discontinued.
Pap test and pelvic exam are covered by Medicare every 2 years.
When to starts? At age 50
How often?         Digital Rectal Examination - every 1 year
                             Prostate Specific Antigen (PSA) blood test - every 1 year
When to starts? At age 20
How often?
        Every 5 years if cholesterol/triglycerides remain within normal range
When to start?      At age 65 with no risk factors
                                At age 50 with risk factors (smoking, weight less than 154 lbs, decreased physical
                                activity, alcohol or caffeine use, low calcium and vitamin D intake)
How often?            Every 2 years
Zostavax (Shingles) Vaccine
When to start?     At age 60 or older
How often?          Once-in-a-lifetime vaccine

Zostavax is a live vaccine  which reduces incidince of shingles by 51% in adults aged 60 or older who received the vaccine. Zostavax is not indicated for treatment of shingles or postherpetic pain. You should not receive Zostavax if you are allergic to gelatin or neomycin, if you have disease or condition that causes weakened immune system, including leukemia, lymphoma, HIV/AIDs, or are taking high dose of steroids by injection or by mouth, if you have active TB, or if you are pregnant or may be pregnant.