Preventive Care Guidelines

BCBSTX publishes and disseminates evidence-derived Preventive Care Guidelines based upon the recommendations of recognized sources such as professional medical associations, specialty societies, professional consensus panels, national task forces, and governmental entities. The guidelines are designed to improve physician/practitioner awareness of (and compliance with) effective clinical preventive care, to improve patient education and to increase the percentage of members who receive recommended clinical preventive care services. These guidelines are current and have been reviewed and approved by the BCBSTX Clinical Quality Committee.

If you have any questions about the guidelines, or wish to provide feedback, this can be done by contacting the Quality Improvement Department at 1-800-863-9798.

The guidelines are not all inclusive and do not cover all possible circumstances, but should be considered a summary of basic preventive services for these populations:

  1. Children from birth to 18 years
  2. Adults 19 years and older
  3. Adults 65 years and older
  4. Women needing perinatal care

Preventive Care Guidelines

Medicare Advantage Annual Wellness Visit Resources

Medicare Advantage Annual Wellness Visit Guide includes a visit checklist and information on Medicare coverage, coding tips, preventive services and closing gaps in care.

Medicare Advantage Annual Wellness Visit Form can be followed during our members’ wellness visits. It can be used as a fillable form or printed and completed by hand.