Item E1BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: July 27, 2015 Division: Employee Services
Bulk Item: Yes _ No X Department: Employee Benefits
Staff Contact Person/Phone 4. Teresa Aguiar X4458
AGENDA ITEM WORDING: Discussion and approval regarding FYI 6 Monroe County Preventative Care
Wellness Program Health screenings for 4 hours of annual leave (excluding Sheriff and Tax Collector) and
FY17 Monroe County Preventative Care Wellness Program Health screenings for 4 hours of annual leave
(excluding Sheriff and Tax Collector) and/or age appropriate preventative health screenings for S25/month
discount off the employee contribution toward health insurance for County Commissioners, Constitutional
Officers and employees who participate in the Group Health Plan.
ITEM BACKGROUND: Wellness programs promote healthy behavior amongst employees covered by the
County Group Health Insurance Plan. The concept is that if the employees annually participate in preventative
health care screenings and healthy lifestyles, the long term claim costs will be less and the rising costs of
healthcare will not be fully needed if potential health issues are caught earlier than when they become a crisis
type of health issue (such as a heart attack or progressive cancer).
The County has offered and has continued to offer wellness activities for employee participation such as Lunch
& Learns and reimbursements for participating in walk/bike/triathlon events in the community to encourage
wellness behavior. We also coordinate annual health fairs for group health plan participants in the Lower,
Middle and Upper keys. Typically, at the health fairs, employees can have their Height, Weight, Blood
Pressure, Cholesterol, Blood Sugar, and Body Mass Index (BMI) screened, thus yielding any warning signs
employees need to see their doctors to ward off any shown risks that could lead to more serious health issues.
The proposed 2017 Age Appropriate Preventative Care Wellness Program covers Monroe County BOCC
employees, Commissioners, Constitutional Officers and their employees.
At the BOCC meeting on August 20, 2014, the BOCC approved the following FY2015 Health Screening Wellness
Program. Employees (those covered and not covered by County Health Insurance) were eligible to receive 4 hours of
annual leave if they:
a. Attended the Health Fairs held in September/October 2014 and obtained: Biometric (height/weight),
OR BIood Pressure, Cholesterol: LDL/HDL/Triglycerides, Blood Sugar Level, and Body Mass Index (BMI)
b. Visited their personal physician by 12/31/14 and obtained the following screenings and completed the
on-line personal health assessment by 2/1/15 with results. Biometric (height/weight), Blood Pressure,
Cholesterol: LDL/HDL/Triglycerides, Blood Sugar Level, and Body Mass Index (BMI)
Below are the results of the FY2015 Wellness Program. The overall increase in participants was over 50% by the County
offering 4 hours of annual leave as an incentive. There were five critical incidents discovered at last year's health fair
that typically, represent potential health cost savings at $125,000 per incident (assuming they would have had a heart
attack or stroke) over a three year time period. This means the early detection of the critical incidents in 2014 could have
potentially saved $625,000 because of the health care costs (see attached report from Florida Blue).
LOCATION
2011 onsite
2015 onsite
2014 onsite
Key Largo
37
51
65
Marathon
36
60
72
Key West
89
75
129
Sheriff Office
28
0
0
on -Line PHA
11
8
29
Total
201
194
295
Further, According to Florida Blue, "8 out of 10 (80%) high cost members diagnosed with cancer were identified with
cancer in advanced stages (metastasized to other organs). Establishing a relationship with a primary care provider and
undergoing appropriate wellness screenings provide the member the opportunity to have a discussion related to
prevention opportunities with a physician and can lead to early identification of cancer, increased treatment opportunities
as well as increased survival rates".
2016 RECOMMENDED WELLNESS PROGRAM:
It is recommended that we continue with the Preventative Care Wellness Program/Health Screenings for 201512016:
Employees (those covered and not covered by County Health Insurance) will be required to complete either of the items
listed below to receive 4 hours of annual leave to be credited to their leave bank by 3/31/16:
• Attend the Health Fairs scheduled for 2015 and participate in:
a. Biometric (height/weight)
b. Blood Pressure
c. Cholesterol: LDL/HDL/Triglycerides
d. Blood Sugar Level
e. Body Mass Index (BMI)
OR
• Visit their personal physician and obtain the following screenings (on or between the dates of 1/1115 to 12/31/15)
and complete the on-line personal health assessment by 2/1/16 with results.
a. Biometric (height/weight)
b. Blood Pressure
c. Cholesterol: LDL/HDL/Triglycerides
d. Blood Sugar Level
e. Body Mass Index (BMI)
2017 RECOMMENDED WELLNESS PROGRAM:
➢ It is recommended that we continue the program implemented in 2015 for participation in the health fair for 4
hours of annual leave and enhance the wellness program with an Age Appropriate Health Screenings (see
attached form for 2016/2017) as follows:
Eligible employees are those who are covered by the County's Health Insurance. They will receive a $25 per month
incentive to be taken off their monthly insurance premium and 4 hours of annual leave. If 200 employees
participate the cost to the County would be approximately $45,000 in lost employee contributions. Those who are not
covered by the County's Health Insurance may still attend the health fairs, etc. but receive no monetary incentive.
• Attend the Fairs scheduled for 2016 and participate in:
a. Biometric (height/weight)
b. Blood Pressure
c. CholesteroI: LDUHDUTriglycerides
d. Blood Sugar Level
e. Body Mass Index (BMI)
AND
• Visit doctor between the dates of I/1/16 to 10/1/16 for an annual wellness exam and required screenings based on
age and doctor determination (see attached) of need:
-Mammogram — annual after age 40;
-Pap Test — Woman age 21-65 every 3 years or women age 30-65 Pap Test/HPV combined every 5
years; Age 65+ discuss with doctor;
-Colorectal Cancer screening — every 10 years ages 50-75;
-Abdominal Aortic Aneurysm Check — One-time men ages 65-75 who ever smoked;
-Bone Mineral Density Screening — women beginning 65+ and in younger women who have increased
risk;
-Prostate Cancer Screening — Discuss with doctor,
-Skin Cancer Screening — Discuss with doctor;
• Submit Health Care Preventative Care — Assessment Acknowledgement Form signed by doctor along with proof
OR
of visit(s) to the Employee Benefits Office by October 15, 2016; and
• Attest to being a non -tobacco user.
Visit physician to obtain screenings and blood test on or between the dates of ]/1/] 6 to 10/1/16
a. Biometric (height/weight)
b. Blood Pressure
c. Cholesterol: LDL/HDL/Triglycerides
d. Blood Sugar Level
e. Body Mass Index (BMI)
• Complete online Personal Health Assessment by February 1, 2017
AND
• Visit doctor between the dates of 1/l/16 to 10/1/I6 for an annual wellness exam and required screenings based on
age and doctor determination (see attached) of need:
-Mammogram — annual after age 40;
-Pap Test— Woman age 21-65 every 3 years or women age 30-65 Pap Test/HPV combined every 5
years; Age 65+ discuss with doctor;
-Colorectal Cancer screening — every 10 years ages 50-75;
-Abdominal Aortic Aneurysm Check — One-time men ages 65-75 who ever smoked;
-Bone Mineral Density Screening —women beginning 65+ and in younger women who have increased
risk;
-Prostate Cancer Screening — Discuss with doctor,
-Skin Cancer Screening — Discuss with doctor,
• Submit Health Care Preventative Care — Assessment Acknowledgement Form signed by doctor along with proof
of visit(s) to the Employee Benefits Office by October 15, 2016; and
• Attest to being a non -tobacco user.
It is believed that this program will continue to help encourage sustained improvement in healthy behaviors.
Early detection and treatment means that there is a greater chance that we will see moderation in the County's
health care costs. The fact is that health care costs are going to continue to go up no matter what we do —
Wellness programs help to mitigate those increases.
PREVIOUS RELEVANT BOCC ACTION: N/A
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS:
FYI 6: Continue implementing Monroe County Preventative Care Wellness (Health Screenings for 4 additional
hours off for FYI 6)
FY17: Beginning 111116 through 10/1/16 implement Monroe County Preventative Care Wellness Program with
Age Appropriate Preventative Health Screenings for $25/month discount on employee contribution to health
insurance and 4 hours of annual leave for those who participate in the regular health screenings to become
effective 1/1/17.
TOTAL COST FY16: $0
FY17:$45,000 foregone employee contributions (assuming 200 participants)
FY17: $50,000 for additional expense to fund because of Preventive screenings*
$95,000 total cost -- real dollars short term annual
Potential Estimated Savings:
Estimated Savings based on 3:1 investment ratio industry standard: $150,000
This number includes lower absenteeism and presentism. A more conservative
estimate to FY18 savings with these assumptions is:
FY18 Savings ^$150 006
*Female participation estimated at twice the participation as males
INDIRECT COST: BUDGETED: Yes No
DIFFERENTIAL OF LOCAL PREFERENCE:
COST TO COUNTY: N/A SOURCE OF FUNDS:
REVENUE PRODUCING: Yes — No X AMOUNT PER MONTH Year
APPROVED BY: County Atty _ OMB/Purchasing Risk Management
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM #
V I ;Ith Screening
Executive Summary Report for.
Monroe County BOCC
la a trade naRw .4 Btu* Cross and blue Shield of Florida, Inc.,
�sen of the. Blue Cross and Blue ShIsid Association.
F&P4& Blue $(V
.356
EXECUTIVE SUMMARY
Monroe County BOCC
TOP RISK AREAS
The top four at -risk areas for your organization areas
follows. Percentages are based on the number of
people who ranked "moderate" or "high risk" in each
area.
Diabetes 85% 252
Nutrition 72% 212
Blood ressure 1 72% 208
BMI 69% 204
2` 2014 Participation
Eligible Screening Population
1,615
Participation
295 (18%)
Flors4da
Blue 11111119
tM pawn of Mahe
O 2014 CRITICAL VALUES & Employers Challenge
Blood Pressure 5
Blood Glucose 1
Both 0
Total CV's 6
*blood pressure at or above
160/100 and/or blood glucose
at or above 300 mg/d (those
diagnosed with Diabetes) and
at or above 200 mg/d (those
not previously diagnosed)
Wellness Scores
2012: 72 (200 participants)
2013: 74 (186 Participants)
2014: 74 (295 Participants)
•A score below 80 indicates ar
elevated likelihood that
individuals will develop certain medical
conditions
Health Care Costs
(25%):
• Medical Care
• Pharmacy
'Savings related to avoiding
Heart Attack or Stroke is
$125,000 average per incident
over 3 years.
Productivity Costs
(75%):
• Absenteeism= 0.2 x annual
health care costs
• Presenteeism=1.8 x annual
health care costs
• Workers Compensation
• Disability
• Safety
• Employee Turnover St
Recruitment
SUMMARY
PARTICIPATION
2014
I013
Eligible Screening Population
1,615
1,632
PHA Participation
295
186
Paper PHA
266
186
Online PHA
29
8
Blometric Screening Participation
266
194
PHA Participation vs, Eligible
28%
12%
Florida Blue Member PHA Participants'
292
190
Members vs. PHA Participation
95%
100%
Number of Critical Values
Blood Pressure
Blood Glucose
Both
Critical Values vs. Attendance
Florida Blue Statewide Average
Members vs. Nonmembers
Members
Non members
Members Enrolled in Next Steps
TOP RISK AREAS
The top four at -risk areas for your organization are as follows. Percentages are based on the
number of people who ranked "borderline" or "high risk" in each area.
RlskArea
Pemritase
Number
Responses
Diabetes
85%
251
295
Nutrition
72%
212
294
Blood Pressure
72%
208
290
BMI
69%
204
295
CRITICAL VALUES
2014
2013
6
5
5
4
1
1
0
0
2.0%
2.7%
2.7%
2.7%
6 5
0 0
6 3
• The number of Florida blue member parunpants is determined by the number of people providing contract IN that match the member listing on ale I
The denominator for each measure In this report vanes Wiled on the number of participants that complete the questions (subject to age and gender, where appropriate)
The rumeritor for each measure shows IW number of panic pants in each measurement category, based on their results Values shown may not equal 100%die to round,". 3
CRITICAL VALUE REPORT
All participants identified with blood pressure at or above 160/100 and/or blood glucose at or above 300 mg/d (those diagnosed with
diabetes) and at or above 200 mg/d (those not previously diagnosed) are referred to a Florida Blue nurse for assistance and confidential
counseling. Those participants identified with critical values who are Florida Blue members are sent a follow-up letter after the screening
Informing them of their own responsibility to urgently follow up with a doctor. Florida Blue members are also offered ongoing health
coaching.
Total Critical Values Became Aware from Assessment Diagnosed Prior to Assessment
6 50% 50%
Participants were identified as having a blood of critical value participants became aware of critical value participants were already
pressure or blood glucose value requiring they had a critical health condition from the diagnosed with the identified condition prior
Immediate medical attention. health screening. to the heahh screening.
Follow-up Letters OQ% Blood Pressure 2 Blood Pressure 3
Glucose 1 Glucose 0
All members receive a follow-up letter that Both 0 Both 0
provides additional resources and available
programs. Total 3 Total 3
The denominator for each moo can in this sport canes based on the number of part K pants that comp I* to the quests s Isublect to age and render, where appropriate).
?he nome!uor fe• ea-h mra sore show. the numbet of panicipana in each measurement category, bated an their results Varws shown may not egwl 100%doe to rounding
COMPARISON REPORT
MONROE COUNTY SOCC
WELLNESS
PARTICIPATION
DEMOGRAPHICS
SCORE
Sazft-
Screening Site
She Score
Total
Group
Pmettt
Percent
Majority
Percent
Majority
Aft)""Pereertt
Date
Participants
Percent
Male
Percale
Age Group
Key West 9/28/2014
74
119
44%
33%
67%
50 59
36%
White
66%
Key Largo 9/19/2014
73
6S
22%
54%
46%
50 59
37%
White
63%
Marathon 10/22/2014
76
72
24%
43%
57%
50 59
35%
White
93%
Online PHA 2014• 10/23/2014 - 2/1/2015
75
29
10%
24%
76%
50 59
48%
White
76%
2015
Overall Snore
Told
% Eligible
Percent
Percent
Majority
Percent
�joft
Percent
-
Attended
Male
Female
Age Group
Eftlelty
2014 Overall
74
295
29%
39%
61%
50 - 59
37%
White
71%
2013 Overall
74
186
12%
37%
63%
50 - 59
30%
White
70%
2012 Overall
72
200
12%
35%
66%
40 - 49
38%
White
67%
The ptaentage thown in all -At Risk' columns In this comparison report Includes thaw who ranked'border4ne' and 'high r sk'
The denominator for each measure in this report varies bawd on the number of participants that cmnplete the questions (subject to age and Render, where appropt ata)
The numerator for each measure shows the number of participants In each measurement category, bated on thec results. Vs uet shown may not equal 100%due to rounding
OVERVIEW OF RISK FACTORS
Risk Factor
Score
Ideal
Borderline
High Risk
2014
1 2013
2014
1 2013
2014
1 2013
2014
2013
BMI
Blood Pressure
64
67
65
74
31% (91)
28% (82)
35% (65)
43% (79)
33% (96)
61% (177)
28% (51)
51% 194)
37% (108)
11% (31)
37% (69)
6% (12)
Total Cholesterol
78
75
66% (193)
61% (113)
27% (78)
26% 148)
7% (20)
13% (23)
HDL Cholesterol
68
65~
44% (129)
40% (74)
32% (92)
32% 159)
24% (69)
28% (51)
awliesterol Ratio
86
85
72% (211)
70% (129)
26% (76)
28% (51)
2% (S)
2% (4)
LDLCholesterol
86
0
83% (22-2)
WO)
14% (37)
0% (0)
3% (8)
0% (0)
Trlglycerides
77
0
69% 1195)
0% (0►
14% (40)
0% (0)
17% (47)
0% (0)
Diabetes Risk
53
56
15% (44)
16% (30)
53% (155)
58% (308)
33% (96)
26% (48)
Blood Sugar
88
87
75% (216)
76% (139)
20% (58)
17% (32)
S% (14)
7% (13)
HbAic
58
0
38% (3►
0% (0)
38% (3)
0% (0)
25% (2)
0% (0)
Nutrftlon
64
54
28% (82)
19% (36)
55% (163)
32% (59)
17% 149)
49% (91)
Physical Activity
Stress
Depression
Tobacco
79
75
85
87
83
68
82
86
65% (192)
_ 63% (186)
98% (260)
88% (260)
76% 1141)
53% (98)
79% (147)
84% (156)
18% (53)
30%(88)
^11% 132)
5% (15)~r�
13% (25)
25% (46)
17% (32)
8% (14)
17% 150)
7% (21)
1% (3)
7% (201
11% (20)
22% 141)
4% (7)
9% (16)
Alcohol
82
81
80% (236)
76% (141)
18% (53)
22% (41)
2% (6)
2% (4)
Vehicle Safety
94
94
97% (286)
9S% (177)
1% (4)
4% 17}
1% (4)
1% (2)
Risk Factor I Yes I No
20U
2013
2M4
OMP 2M3=Pw
Testicular Exam (Men)
57% (66)
50% (34)
43% (50)
50% (34)
Pap Smear (Women 21+)
83% (249)
86% (101)
17% (30)
14% (17)
Mammmogram (Women 40+)
7396 (104)
69% 162)
27% (39)
31% (281
Colonscopy (Age 50+)
61% (97)
53% (47)
39% (62)
47% (42)
Annual Wellness Exam (All)
88% (261)
84% (157)
12% (34)
16% (29)
Annual Flu Shot (A8)
43% (126)
35% (6S)
57% (169)
65% (121)
The derwminalor for each measure in this report varies based on the number of participants that ca pleta the questions (subject to are and render, where appopriataj.
The numerator for each nwasure shows the number of panlcipwai in each measurement category, based on their results Values shown may not equal IM due to rou ridmr 6
County of Monroe
The Florida Keys
Employee Health Preventative Care - Assessment Acknowledgment Form
Effective January 1, 2017
Services provided between: 1/1/16 through 10/1/16
Employee Name: Age:
(Please Print)
Male: Female:
Position:
Physician Name:
(Please Print)
(Please Print)
Department:
(Please Print)
Completion Date:
Physician Acknowledgement: My signature below indicates that the following tests, assessments, clinicals indicated,
pertain to the employee identified above, have been measured, if I deemed appropriate . The results of which have
been reviewed with the employee in accordance with established treatment protocols.
Biometrics Information:
Check if
completed
Recommended tests (Not required) if applicable at
Ph siclan's discretion:
Wellness checkup/ Physical
Vitamin D
The below can be done at the County's annual
health fair or with your personal physician:
Vitamin B
Height/Weight
CBC
Blood Pressure: Systolic Diastolic
CMP
Cholesterol : LDL HDL Tri l cerides
TSH
Blood Sugar Level
Bilirubin screening
Body Mass Index BMI
HBAlc If diagnosed diabetic
Required Preventative Screenings discussed with Physician. If screening is recommended and
done at a different office (such as a hospital), proof of procedure/visit with name of patient
and date of procedure must be attached to this form.
Mammogram: Annually at ages 40+
OR
Not required at this time (age, screening given within past year, etc.)
Pap Test: Women age 21-65 every 3 years or women age 30-65 Pap TesUHPV combined every 5 years; Ages
65+ discuss with doctor
OR
Not required at this time
Screening for Colorectal Cancer: Ages 55-75 with either a colonoscopy, fecal occult blood test or sigmoidoscopy
OR
Not required at this time
Pagel of 2
Abdominal Aortic Aneurysm Check: One-time men ages 65-75 who have ever smoked
OR
Not required at this time
Bone Mineral Density Screening and prescribed medication for osteoporosis: Women beginning 65+ and in
younger women who have increased risk
OR
Not required at this time
Prostate Cancer Screening: Discuss with doctor
Skin Cancer Screening: Discuss with doctor`
Doctor:
I have given the patient the results of these tests and the employee has been counseled on the
results and necessary follow up to prevent further health issues: "4W.
Physician Signature: Date:
Physician Address:��
Physician Phone #:
Please give patient a copy of this form, completed biphysician and mail completed, signed form to:
Monroe County Employee Benefits Office
Gato Building, 2"d Floor, Room 268 „f
1100 Simonton Street
Key West, FL 33040;
EMPLOYEE SIGN BELOW:
le
I hereby certify that I do not currently use or have used tobacco products five or more times in the
previous three months. Tobacco products are defined as cigarettes, cigars, pipe tobacco, chewing
tobacco, snuff, dip, electronic or e-cigarettes that contain nicotine or any other product that contains
tobacco or nicotine.
I further understand that I may be subject to testing to verify non-use of tobacco products. A refusal
to submit to a test is considered "positive" for tobacco use.
Employee Name
Employee Signature Date
Submitted to County on:
Date
Received by Employee Services Employee Name/Signature:
Date:
Page 2 of 2
Adult (age 19+) Preventive Schedule Be sure to verify your benefits for preventive services.
GuideRoutine Health
Physical Examination and Routine Blood Work
Annually
DieUPhysical Activity Counseling
Annually
Dental Exam
Once or twice a year Mk—Aserritesmay not bemveredbyyour mediWbenefits plan- Check your plan docurin s.)
Vision Exam
Discuss with your doctor(lhesesmvrcesmay not bemvemdbyyour medical benefits plin. aiedcyourplandoommits.)
Recommended, Diagnostic-
One-time screening for men ages 65 to 75 who have ever smoked
Abdominal Aortic Aneurysm Check
Bone Mineral Density Screening & prescribed medication
for Osteoporosis
Women beginning at age 65 or older; and in younger women who have an increased risk
Cholesterol Screening
Ages 35+: All Men: Annually and Ages 20+: Men & Women at increased risk: Annually
Colorectal Cancer Screening Ages 50.15; With either a colonoscopy, fecal occult blood test or sigmoidoscopy
Mammogram _
Annually at ages 40+ (per the American Cancer Society)
Pap Test
Women age 21-65 should have Pap Test every 3 years or women age 30.65 should have
Pap Test/HPV combined testing every 5 years; Ages 65+: Discuss with your doctor.
HIV and other Sexually Transmitted Infections (STIs)
Screening and Counseling
As indicated by history and/or symptoms. Discuss with your doctor behavioral risks
Ages 55.80; 30 pack smoker history,current smoker/quit within past 15 years
Lung Cancer Screening
Prostate Cancer Screening
Discuss with your doctor
Skin Cancer Screening
Discuss with your doctor
Fall Risk/Unintentional Injury
Discuss exercise, home safety and vitamin 0 supplementation with your doctor
Screen/Counseling Depression, Tobacco, Alcohol, Pregnancy,
Substance Abuse and Injury/Domestic Violence Prevention
Every visit, or as indicated by your doctor
Advance Directives
Annually
(Routine.. .
Tetanus, Diphtheria, Pertussis (Td/fdap)
Ages 19+: Tdap vaccine once, then a Td booster every 10 years"
FLU (Influenza)
Annually during flu season
Pneumococcal'
PCV13 and PPSV23
Ages 19.64: if risk factors are present; Ages 65+: 1 dose (per CDq; Ages 50+:1 dose
(Florida Blue Benefits")
Shingles (Zoster)`
Ages 60+:1 dose (per CDq; Ages 50+:1 dose (Florida Blue Benefits")
Haemophilus InfluenzaeType b (HIB) Hepatitis A, Hepatitis B,
Meningococcal
Ages 19+: if risk factors are present
Human Papillomavirus (HPV), Measles/Mumps/Rubella
(MMR), Varicella (Chickenpox) & Hepatitis C (HCV)
Infection Screening
Physician recommendation based on past immunization or medical history
* Some immunizations are contraindicated for certain conditions, discuss with your doctor.
`• If you are pregnant, talk to you doctor about getting a Map vaccine during 3rd trimester of every pregnancy to protect your baby from pertussis (whopping cough).
Florida Blue Pharmacy benefits cover Shingles (Zostavax and Pneumonia (Pneumovax) vaccine under Preventive Service benefit when services are rendered by an
in -network pharmacy which administers these vaccines.
Florid, Blue 0`1I
In the pursuit of health
Live a Healthy Lifestyle
• Get your annual wellness exam
to review your overall health plan
and keep follow-up msits with your
doctor.
• Find out if you are at risk for health
conditions such as diabetes.
• Get your vaccines, preventive
screenings and labs.
• Human f apillomavirus (HPV)
vaccine 3 dose series is
recommended for men and
women ages 19 through 26 years
if not previously vaccinated prior
to age 13
• Talk with your doctor about
the medications and over-the-
counter/vitamins you are taking
to reduce side effects and
interactions.
• Get a Flu Vaccine every year
to prevent illness and related
hospitalizations.
We're here to help:
Call
Customer Service
1-800-FLA-BLUE (1-800-352-2583)
TTY/TDD Call 711
Care Consultant Team
1-888-476-2227
24-Hour Nursetine
1-877-789-2583
Click
Visit FloridaBlue.com
Visit a Florida Blue Center
Go to Florida Ell ueCenters.com
for locations or call 1-877-352-5830
Sources: These guidelines are
recommendations from the organizations
listed below and were not developed by
Florida Blue
www ahrq gov
www cdc gov
82531R 1014
Women (age 65) Preventive
BiueMedicareAdvantage Plans.
Physical Examination and Routine Blood Work
Diet/Physical Activity Counseling
Vision Exam, Glaucoma Screening, and Dental Exam
Lung Cancer Screening.
Bone Mineral DensityScreening and prescribed medication for Osteoporosis
Diabetic Screening - Blood sugar, Hemoglobin AlC, LDL Cholesterol, Retinal Eye
Exam, Kidney function and Blood Pressure
Colorectal Cancer Screening*
Mammogram
PapTest/Pelvic Exam
HIVand other SexuallyTransr
(STls) Screening & Counseling
Cholesterol Screening
Skin Cancer Screening. Early detection of cutaneous melanoma, basal cell cancer,
or squamous cell skin cancer in the adult general population.
Hearing Test
Screen/Counseling:Depression,Obesity, Tobacco, Alcohol & Substance Abuse
Fall Risk/Unintentional Injury/Domestic Violence Prevention/Urinary Problems
Medication List (including over-the-counter & vitamins) for potential interactions
Advance Directives
Tetanus, Diphtheria, Pertussis (Td/Tdap)
FLU (Influenza)
Pneumococcal - PCV13 and PPSV23
Shingles (Zoster)
Hepatitis B, Hepatitis C Virus (HCV) Infection Screening and Vadcella (Chickenpox)
Annually
Annually
Ages 55-80; 30 pack smoker history,currentsmoker/quit within past 15 years
Women beginning at age 65 or older, and in younger women who have an increased risk
Annually
Ages 50-75; Either a colonoscopy, fecal occult blood test or sig
Annually until age 75; After age 75, discuss with your doctor
65+: Discuss with your doctor
Annually
Once every 5 years; more frequently if at risk
Discuss with your doctor
Discuss with your doctor
Every visit, or as indicated by your doctor
y visit, or as indicated by your doctor
Every visit, or as indicated by your doctor
Annually
Tdap vaccine once, then a Td booster every
10 years
Annu
Ages 65+:1 dose; Discuss with your doctor
es 60+:1 dose
Discuss with your doctor
Flo^4& Blue !
In the pursuit of heaFth'
Take the time to talk with your
doctor to develop a plan to
take control of your health.
Be sure to get your preventive
screenings and flu vaccine.
*Florida Blue plans cover
Routine Preventive
Colonoscopy. Refer to
Prevention & Wellness Benefits.
These guidelines are
recommendations by the
organizations listed below and
were not developed by Florid
Blue.
Sources:
www.ahrq.gov
www.medicare.gov
www.cdc.gov
Y0011 825331014 C:10/2014
Men (age 65) Preventive Schedule Be sure to verify your benefits for preventive services. Certain preventive services are
not covered by Original Medicare or BlueMediare Advantage Plans. FCaP1;5&4& B&W,
Routine Guide
Physical Examination and Routine Blood Work
Annually
Diet/Physical Activity Counseling
Annually
Vision Exam, Glaucoma Screening, & Dental Exam
Annually
Recommended Diagnostic
Abdominal Aortic Aneurysm (AAA) Check
_
One-time screening for men ages 65 to 75 who have
ever smoked or have a family history of AAA**
Lung cancer screening is a recommendation by the United Task Force.
Ages 55-80; 30 pack smoker historycurrent smoker/
quitwithin past 15 years
Diabetic Screening - Blood sugar, Hemoglobin Al C, LDLCholesterol, Retinal Eye
Exam, Kidney Function and Blood Pressure
Annually
Colorectal Cancer Screening*
Ages 50-75; Either a colonoscopy, fecal
occult blood test or sigmoidoscopy
HIV and other Sexually Transmitted Infections (STIs) Screening & Counseling
Annually
Once every 5 years; more frequently if at risk
Cholesterol Screening
Prostate Cancer Screening
Skin Cancer Screening. Early detection of cutaneous melanoma, basal cell
cancer, or squamous cell skin cancer in the adult general population.
Discuss with your doctor
Discuss with your doctor
Hearing Test
Guidance
Screen/Counseling: Depression, Obesity, Tobacco, Alcohol and Substance Abuse
Discuss with your doctor
Every visit, or as indicated by your doctor
Fall Risk/UnintentionalInjury/Domestic Violence Prevention/Uri nary Problems
Every visit, or as indicated by your doctor
Mediation List (including over-the-counter & vitamins) for potential interactions
Every visit, or as indicated by your doctor
Advance Directives
Immunizations (Routine Recommendations)
Tetanus, Diphtheria, Pertussis (Td/Tdap)
Annually
Tdap vaccine once, then a Td booster every 10 years
FLU (Influenza)
Annually
Pneumococcal - PCV13 and PPSV23
Ages 65+:1 dose; Discuss with your doctor
Shingles (Zoster)
Ages 60+:1 dose
Hepatitis B, Hepatitis CVirus (HCV) Infection Screening anclVaricella (Chickenpox)
Discuss with your doctor
In the pursuit of health'
We're here to help:
Call Member Services
1-800-926-6565
CM dial 1-800-955-8770)
8:00 a.m. — 8:00 p.m. local time,
seven days a week from October
1 - February 14, except for
Thanksgiving Day and Christmas
Day. However, from February 15
- September 30, you will have to
leave a message on Saturdays,
Sundays and Federal holidays.
Care Consultant Team
1-888-476-2227
24-Hour Nurseline
1-877-789-2583
ClickVisit Blue M ed icareF L.com
Visit a Florida Blue Center
Find a location near you
at Florida BlueCenters.com
or call 1-877-352-5830
Looking for
Medicare coverage?
Call 1-877-465-1125
*Florida Blue plans cover Routine
Preventive Colonoscopy. Refer to
Prevention & Wellness Benefits.
**Medicare will pay for a one-time
preventive ultrasound screening
for men who are at -risk.
Florida Blue is an Independent licensee of
the Blue Cross and Blue Shield Association.
Florida Blue is a PPO and RPPO Plan with
a Medicare contrail Florida Blue HMO
is an HMO Plan with a Medicare contract
Enrollment in Florida Blue or Florida
Blue HMO depends on contract renewal.
825331014