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Preventive Health

Annual Blood Test Check-Up: What to Get Every Year

An annual blood test is the single most powerful preventive health measure you can take. It catches problems years before symptoms appear — prediabetes, early kidney decline, creeping cholesterol, silent thyroid issues. But most people don’t know which tests to request, and results pile up in drawers without being compared year-over-year.


Recommended Blood Tests by Age

Based on Australian guidelines from the RACGP, Heart Foundation, and Diabetes Australia. Most routine tests are Medicare bulk-billed when ordered by your GP.

Ages 18–29
Core Panel

Full blood count

Iron studies

Vitamin D

Liver function

Kidney function

Consider Adding

+ STI screening if sexually active

+ Thyroid if family history

+ Fasting glucose if overweight

Ages 30–39
Core Panel

Full blood count

Lipid panel (cholesterol)

Fasting glucose + HbA1c

Iron studies

Vitamin D

Liver function

Kidney function

Thyroid (TSH)

Consider Adding

+ Hormone panel if fertility concerns

+ B12 if vegetarian

+ Coeliac screen if GI symptoms

Ages 40–49
Core Panel

Full blood count

Lipid panel

Fasting glucose + HbA1c

Liver function

Kidney function (eGFR)

Thyroid (TSH)

Iron studies

Vitamin D

Uric acid

Consider Adding

+ Fasting insulin + HOMA-IR

+ PSA for men (informed decision)

+ Cardiac risk assessment

+ Hormone panel if symptomatic

Ages 50–64
Core Panel

Full blood count

Lipid panel

Fasting glucose + HbA1c

Liver function

Kidney function (eGFR)

Thyroid (TSH)

Iron studies

Vitamin D

Uric acid

B12 + folate

CRP (inflammation)

Consider Adding

+ PSA for men

+ Bone health (calcium, ALP) for women

+ Tumour markers if family history

Ages 65+
Core Panel

Full blood count

Lipid panel

Fasting glucose + HbA1c

Liver function

Kidney function (eGFR)

Thyroid (TSH)

Iron studies

Vitamin D

B12 + folate

Calcium + phosphate

CRP

Uric acid

Electrolytes

Consider Adding

+ INR if on warfarin

+ BNP if heart failure risk

+ Bone markers (P1NP, CTX)

+ Over-75s Health Assessment


Why Year-Over-Year Comparison Matters

Creeping cholesterol

4.8 → 5.2 → 5.6 → 6.1 over 4 years

Each test is "borderline". The trend shows steady progression toward medication.

Silent kidney decline

eGFR: 92 → 85 → 78 → 72 over 4 years

All above 60 threshold. The downward trend signals early CKD.

Iron depletion pattern

Ferritin: 65 → 45 → 28 → 15 over 3 years

Only the last result is flagged. The trend started 3 years ago.

Treatment working

HbA1c: 6.8% → 6.2% → 5.9% over 18 months

Confirms lifestyle changes are bringing diabetes under control.


Upload This Year’s Results — And Every Previous Year

The more history you upload, the more powerful the trend analysis becomes.

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Medicare Coverage for Annual Blood Tests

Standard Bulk-Billed Tests

FBC, lipids, glucose, HbA1c, liver, kidney, thyroid, iron, and vitamin D are routinely bulk-billed when your GP orders them.

GP Management Plans (CDM)

Chronic conditions (diabetes, heart disease, asthma) qualify for CDM plans that fund additional testing and allied health.

Over-75s Health Assessment

Medicare funds a comprehensive annual assessment for Australians aged 75+ including blood tests and cognitive screening.

Aboriginal & Torres Strait Islander

The 715 Health Assessment is available annually for all ages, including a comprehensive blood panel.



Your Annual Check-Up Deserves More Than a Filing Cabinet

Upload every annual blood test — this year and previous years. See trends, catch problems early, and take a professional report to your next appointment. Free forever.

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Medical Disclaimer: These are general screening recommendations. Your GP may recommend different tests based on your personal history. Always discuss testing with your doctor.



Important: SmarterBlood is an educational health-information service. It is not a medical device, is not a substitute for professional medical advice, diagnosis, or treatment, and does not replace consultation with a qualified healthcare provider. SmarterBlood does not diagnose conditions, prescribe medication, or recommend treatment. Always seek the advice of your doctor or another qualified healthcare provider with any questions you may have regarding a medical condition or your blood test results. Never disregard professional medical advice or delay seeking it because of something you have read on SmarterBlood. SmarterBlood has not been evaluated by the U.S. Food and Drug Administration (FDA), the Therapeutic Goods Administration (TGA), the UK Medicines and Healthcare products Regulatory Agency (MHRA), or Health Canada, and is not intended to diagnose, treat, cure, or prevent any disease.

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