Staying healthy: routine wellness exams | Anthem HealthKeepers Plus Virginia Medicaid

Make this year your best year for wellness. Your health plan may pay for tests to find disease early and routine wellness exams to help you and your family stay well. Talk with your health care provider about the care that is right for you.

What is your plan for better health?

Use this guide to know when to set up visits with your doctor for you and your children. Ask your doctor which exams, tests and vaccines are right for you, when you should get them and how often.

Wellness care resources

Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

EPSDT benefits do not apply to FAMIS members.

With EPSDT, children and teens with Medicaid can get complete health care. This includes preventive care. It is important that those enrolled in Medicaid receive any services or treatment that they need.

Early: catching problems early when they are easier to treat
Periodic: checkups for children at scheduled intervals based on age
Screenings: conducting physical, mental and developmental tests to detect any potential problems
Diagnostic: performing diagnostic tests to follow up when a risk is identified
Treatment: a course of action to control, correct or reduce health problems found

EPSDT benefits do not apply to FAMIS members. FAMIS members do receive well-baby and child care.

pediatric doctor with girl

Well-baby and child screenings

Birth to 2 years

Medicaid and FAMIS members can receive exams for newborns within 3 to 5 days of birth and within 48-72 hours after leaving the hospital. It is recommended for infants who leave the hospital less than two days (48 hours) after birth to be seen by a doctor within two days (48 hours) after being born. At the well-baby exam, you may get advice on your child’s safety, dental exams and care starting at age 1 year if needed, healthy eating and development.

Ages 2 ½ to 10 years

You may get advice about:

How to keep your child safe
How to prevent injuries
Counseling to reduce the risks of getting skin cancer
Good health
Diet and physical activity
Development
As well as annual dental referrals starting at age 3 or earlier if needed

Ages 11 to 18 years

The doctor may talk to you about health and wellness issues. These include:

Diet and physical activity
Healthy weight
Dental health
Mental health

Well-person exams

Women

The doctor may talk to you about health and wellness issues. These include:

Diet and physical activity
Family planning for ages 19 to 39
Folic acid for women who are of the age to get pregnant

Pregnant women

Pregnant women should see their doctor or OB/GYN in their first three months of pregnancy for a first visit and to set up a prenatal care plan. At this visit, your doctor will check your health and the health of your baby.