Check-ups for women aged 45–49: what's covered by OMS
Women aged 45–49 get 22 check-ups under the state programme, including total cholesterol blood test, fasting blood glucose, hepatitis C antibody screening. Everything on the list is free under the OMS policy at the clinic you are registered with.
The check-ups the state programme provides at this age. Age means how old you turn this calendar year.
Within a group, some check-ups are provided only at specific ages.
Check your age| Check-up | How often | Covered by OMS |
|---|---|---|
| Questionnaire | every year | covered by OMS |
| Height, weight and waist measurement with body mass index | every year | covered by OMS |
| Blood pressure measurement | every year | covered by OMS |
| Total cholesterol blood test | every year | covered by OMS |
| Fasting blood glucose | every year | covered by OMS |
| Absolute cardiovascular risk assessment | every year | covered by OMS |
| Chest X-ray (fluorography) | every 2 years | covered by OMS |
| Resting ECG | every year | covered by OMS |
| Eye pressure measurement | every year | covered by OMS |
| Examination by a midwife or gynaecologist | every year | covered by OMS |
| Hepatitis C antibody screening | every 10 years | covered by OMS |
| Doctor's visit to review check-up results, including a skin, mouth, thyroid and lymph node examination | every year | covered by OMS |
| Cervical smear (Pap test) | every 3 years | covered by OMS |
| Mammography of both breasts | every 2 years | covered by OMS |
| Faecal immunochemical test (FIT) | every 2 years | covered by OMS |
| Upper endoscopy (gastroscopy) | at age 45 | covered by OMS |
| Complete blood count (haemoglobin, white cells, ESR) | every year | covered by OMS |
| Brief one-to-one prevention talk | every year | covered by OMS |
| GP visit after the first stage | every year | covered by OMS |
| Gynaecologist visit (reproductive health check-up) | every year | covered by OMS |
| Vaginal smear microscopy | every year | covered by OMS |
| HPV DNA test (high-risk types), with liquid-based cytology if positive | every 5 years | covered by OMS |
| Neurologist consultation | if referred after the first stage | covered by OMS |
| Surgeon or coloproctologist consultation, including sigmoidoscopy | if referred after the first stage | covered by OMS |
| Colonoscopy | if referred after the first stage | covered by OMS |
| Upper endoscopy (second stage) | if referred after the first stage | covered by OMS |
| Chest X-ray or chest CT | if referred after the first stage | covered by OMS |
| Spirometry | if referred after the first stage | covered by OMS |
| Gynaecologist consultation | if referred after the first stage | covered by OMS |
| Ophthalmologist consultation | if referred after the first stage | covered by OMS |
| Dermatologist consultation with dermatoscopy | if referred after the first stage | covered by OMS |
| HbA1c blood test | if referred after the first stage | covered by OMS |
| In-depth prevention counselling (one-to-one or group) | if referred after the first stage | covered by OMS |
| GP visit after the second stage | if referred after the first stage | covered by OMS |
| PCR swab test for pelvic infections (second stage) | if referred after the first stage | covered by OMS |
| Pelvic ultrasound | if referred after the first stage | covered by OMS |
| Breast ultrasound | if referred after the first stage | covered by OMS |
| Follow-up gynaecologist visit | if referred after the first stage | covered by OMS |
Questionnaire
- How often
- every year
Height, weight and waist measurement with body mass index
- How often
- every year
Blood pressure measurement
- How often
- every year
Total cholesterol blood test
- How often
- every year
Fasting blood glucose
- How often
- every year
Absolute cardiovascular risk assessment
- How often
- every year
Chest X-ray (fluorography)
- How often
- every 2 years
Resting ECG
- How often
- every year
Eye pressure measurement
- How often
- every year
Examination by a midwife or gynaecologist
- How often
- every year
Hepatitis C antibody screening
- How often
- every 10 years
Doctor's visit to review check-up results, including a skin, mouth, thyroid and lymph node examination
- How often
- every year
Cervical smear (Pap test)
- How often
- every 3 years
Mammography of both breasts
- How often
- every 2 years
Faecal immunochemical test (FIT)
- How often
- every 2 years
Upper endoscopy (gastroscopy)
- How often
- at age 45
Complete blood count (haemoglobin, white cells, ESR)
- How often
- every year
Brief one-to-one prevention talk
- How often
- every year
GP visit after the first stage
- How often
- every year
Gynaecologist visit (reproductive health check-up)
- How often
- every year
Vaginal smear microscopy
- How often
- every year
HPV DNA test (high-risk types), with liquid-based cytology if positive
- How often
- every 5 years
Neurologist consultation
- How often
- if referred after the first stage
Surgeon or coloproctologist consultation, including sigmoidoscopy
- How often
- if referred after the first stage
Colonoscopy
- How often
- if referred after the first stage
Upper endoscopy (second stage)
- How often
- if referred after the first stage
Chest X-ray or chest CT
- How often
- if referred after the first stage
Spirometry
- How often
- if referred after the first stage
Gynaecologist consultation
- How often
- if referred after the first stage
Ophthalmologist consultation
- How often
- if referred after the first stage
Dermatologist consultation with dermatoscopy
- How often
- if referred after the first stage
HbA1c blood test
- How often
- if referred after the first stage
In-depth prevention counselling (one-to-one or group)
- How often
- if referred after the first stage
GP visit after the second stage
- How often
- if referred after the first stage
PCR swab test for pelvic infections (second stage)
- How often
- if referred after the first stage
Pelvic ultrasound
- How often
- if referred after the first stage
Breast ultrasound
- How often
- if referred after the first stage
Follow-up gynaecologist visit
- How often
- if referred after the first stage
This is reference information, not medical advice. The scope of any examination is decided by a doctor.
Routine check-ups and dispanserization are free under compulsory health insurance (OMS). Check with your local clinic where you are registered.
How to go
Book at your clinic
The clinic you're registered with — in person, by phone or via Gosuslugi.
Complete the first stage
The check-ups listed for your age.
The doctor decides on stage two
Additional tests only if the doctor refers you after the first stage.
Neighbouring age groups
Common questions about check-ups for women aged 45–49
How much do check-ups for women aged 45–49 cost?
The check-ups listed are free under the OMS policy at the clinic you are registered with. Stage two tests are ordered by the doctor after stage one and are also part of the programme.
How often should women aged 45–49 have check-ups?
Each check-up has its own frequency, shown in the table. Age means how old you turn this calendar year.
What do I need to book?
Your passport and OMS policy. Book at the clinic you are registered with, by phone or via Gosuslugi.
Order of the Russian Ministry of Health No. 404n, as amended on 15 June 2026 · Read the order (opens on another site)