Preventive Care
Welcome to Medicare Visit (IPPE)
This is your “get oriented” prevention visit. It helps you set a baseline, review risks, and build a simple plan for the year ahead.
Bring a list of current meds and supplements.
Share family history (heart disease, diabetes, cancer, aneurysm).
Ask what screenings make sense based on your age and risk.
Pick one or two realistic lifestyle goals (movement, sleep, tobacco, alcohol).
Annual Wellness Visit (AWV)
Think of the AWV as your yearly prevention “strategy session.” It updates your risk profile and keeps your plan current.
Review new diagnoses, meds, and daily function changes.
Update screening schedule (colon, lung, AAA, etc.).
Discuss fall risk, memory concerns, mood, and safety habits.
Ask what one change would most improve your risk this year.
Routine Physical Exam vs Medicare Preventive Visits
A routine physical can be useful, but the key is scheduling the right visit for the right goal.
If you want prevention planning, ask for the Welcome visit or AWV.
If you have symptoms, schedule a problem-focused visit.
Ask the office how the visit will be billed (preventive vs diagnostic).
Preventive Care Planning (your yearly checklist)
A simple checklist beats a perfect plan. The goal is to keep your risks visible and your next steps easy.
Know your numbers: blood pressure, blood sugar trend, cholesterol trend.
Pick one lifestyle focus: movement, sleep, food choices, tobacco, alcohol.
Stay current on vaccines.
Follow recommended screenings based on your risk.
Advance Care Planning
Advance care planning helps your loved ones and doctors follow your wishes if you can’t speak for yourself.
Choose a health care decision-maker (proxy).
Write down what matters most to you (quality of life, independence, comfort).
Review your plan after major health changes.
Store documents where someone you trust can access them.
Blood Pressure Screening and Hypertension Prevention
High blood pressure is a major “silent” risk for heart disease, stroke, and kidney disease.
Check BP regularly (home cuff can help).
Move most days, reduce excess sodium, prioritize sleep.
If you drink alcohol, keep it modest and consistent.
Ask what BP target fits your risk profile.
Cardiovascular Disease Screenings (cholesterol/lipids)
Cholesterol screening helps estimate risk and guide lifestyle and medication decisions.
Ask about overall risk, not just one number.
Focus on activity, fiber-rich foods, sleep, and weight management.
Discuss family history of early heart disease.
Tobacco Use Cessation Counseling
Quitting tobacco is one of the most powerful prevention moves for heart disease, stroke, COPD, and cancer.
Ask about nicotine replacement and prescriptions.
Pick a quit date and plan for triggers (stress, alcohol, routines).
Counseling + medication can work better than either alone.
Prostate Health and PSA Testing
Prostate cancer decisions are personal. Prevention here is informed screening decisions and paying attention to symptoms.
Discuss PSA testing based on age, family history, and risk.
Know symptom triggers (urinary changes, blood in urine).
Ask about pros/cons and what happens after an abnormal result.
Oral Cancer Risk Awareness (tobacco/alcohol)
Oral cancer risk rises with tobacco and heavy alcohol use. Prevention is reducing exposures and acting fast on symptoms.
Quit tobacco, reduce alcohol.
Don’t ignore mouth sores that don’t heal or trouble swallowing.
Keep regular dental care if you have access to it.
Testicular Cancer Awareness (symptoms and when to seek care)
There’s no routine population screening test, so prevention is awareness and quick evaluation of changes.
Look for lumps, swelling, heaviness, or persistent ache.
Don’t wait weeks if something feels different.
Ask what the next step is (exam, ultrasound, referral).
Abdominal Aortic Aneurysm (AAA) Screening
AAA risk is higher in older men, especially with a history of smoking. Screening can detect an aneurysm before it becomes dangerous.
If you’ve ever smoked, ask if you meet screening criteria.
Manage blood pressure and quit tobacco.
Know urgent warning signs: sudden severe belly/back pain, dizziness, fainting.
Sleep Health and Sleep Apnea “Screening” vs Testing
Sleep is prevention. Poor sleep raises risk for high blood pressure, diabetes, and accidents.
Watch for clues: loud snoring, gasping, morning headaches, daytime sleepiness.
Work on weight, alcohol timing, sleep schedule, congestion.
Ask if a sleep study is appropriate if symptoms persist.
Hearing Screening and Hearing Loss Prevention
Hearing loss affects safety, relationships, and brain health. Prevention is early detection and protecting your ears from damage.
Use hearing protection around loud tools, concerts, engines.
Treat earwax or infections that worsen hearing.
If conversations are hard to follow, get evaluated sooner.