Children’s Wellness

Well-Care Exams

A well-care exam is a preventive exam your baby, child, or teen has with their health care provider to help keep them healthy. Regular well exams are one of the best ways to find physical, developmental, and emotional problems. These visits also allow you to discuss any concerns you have regarding your child, such as behavior, sleep, eating, physical activity, or upcoming changes in your child’s life.

A well-care exam includes:

  • A physical exam
  • Health and developmental history
  • Screening exams
  • Health education and counseling
  • Immunizations (if needed)

The American Academy of Pediatrics recommends that children are seen for routine well-care exams at regular intervals. These visits are covered by UPHP.

After birth, well-care visits should be scheduled at the following ages: 

InfancyEarly ChildhoodMiddle ChildhoodAdolescence
3-5 days15 months5 years12 years
1 month18 months6 years13 years
2 months24 months7 years14 years
4 months30 months8 years15 years
6 months3 years9 years16 years
9 months4 years10 years17 years
12 months 11 years18 years
   19 years
   20 years
ImmunizationAge
Birth2 months4 months6 months12 months15 months18 months4 years11 years16 years

Hepatitis B

(Hep B)

✔️✔️ ✔️      
Diphtheria, Tetanus, and Pertussis (DTaP) ✔️✔️✔️ ✔️ ✔️  
Haemophilus Influenza Type B (Hib) ✔️✔️✔️✔️     

Polio (IPV)

(inactivated poliovirus)

 ✔️✔️✔️   ✔️  
Pneumococcal Conjugate (PCV) ✔️✔️✔️✔️     
Rotavirus ✔️✔️✔️      
Measles, Mumps, Rubella (MMR)    ✔️  ✔️  
Varicella or Chicken Pox    ✔️  ✔️  

Hepatitis A

(Hep A)

    ✔️ ✔️   
Meningococcal        ✔️✔️
Human Papillomavirus (HPV)        ✔️ 
Tetanus, Diphtheria, and Pertussis (TDaP)        ✔️ 
Influenza (flu)✔️  Yearly starting at 6 months of age

Developmental milestones are behaviors or physical skills seen in infants and children as they grow and develop. Milestones are different for each age. The links below provide more information on age-appropriate milestones.

InfantsToddlersPreschoolers
2 months1 year3 years
4 months18 months4 years
6 months2 years5 years
9 months  

Below you will find more information on your child’s development, positive parenting, safety, and health at each stage of your child’s life.

Infants age 0-1Middle Childhood age 6-8
Toddlers age 1-2Middle Childhood age 9-11
Toddlers age 2-3Young Teens age 12-14
Preschoolers age 3-5Teenagers age 15-17

Childhood obesity now affects one in five children and adolescents in the United States. Obesity can lead to diabetes, cancer, heart disease, breathing issues, joint problems, depression, and low self-esteem. To reduce the chances of these health problems, UPHP encourages children and their families to eat well and be active. A great starting point is to remember the 5-2-1-0 rule. Work toward meeting these goals:

  • Eat 5 or more servings fruits and vegetables each day
  • Have 2 hours or less of recreational screen time each day (school work does not count)
  • Get 1 hour or more each day of moderate to vigorous physical activity
  • Drink 0 sugary drinks (soda, sugar-sweetened sports drinks, or juice)

To find more information on healthy eating and exercise habits for children, visit the Childhood Healthy Habits Program page.

A healthy smile plays an important role in a child’s health and development. Visits to the dentist should start at 12 months old or when a child’s first tooth comes in. Visits should continue twice yearly through life.

Healthy Kids Dental is a Michigan Department of Health and Human Services program for Medicaid-eligible children under the age of 21. For information on no-cost services and coverage, or to locate a participating dentist, visit www.healthykidsdental.org.

Below are some tips from Healthy Kids Dental for caring for teeth at home:

  • It is important to brush teeth twice a day (after breakfast and before bed). Use a soft-bristled toothbrush and toothpaste that has fluoride.
  • Your child does not need to rinse after brushing. The toothpaste left in his or her mouth helps protect teeth against cavities.
  • Floss teeth once a day. The best time for flossing is at the bedtime brushing. This will get food out from between teeth so it does not stay there all night.
  • Replace toothbrushes every three to four months. If your child has been sick, replace his or her toothbrush so it is not passing germs.
  • When your baby has teeth, start brushing using a soft infant toothbrush and a smear of fluoride toothpaste (about the size of a grain of rice).

Children should never be put to bed with juice or milk. This can cause severe tooth decay (rotting of  the teeth). Only water should be given after brushing at bedtime.


Page Last Updated: 06/10/2019