Skin cancer
5 min read

How Often Should Adults Actually Get a Skin Check?

Written by
Dr. Portela
Published on
September 29, 2026
If you've ever typed "skin cancer screening near me" into your phone after noticing a weird spot, you're not alone — and you're not overreacting. Idaho sits at a higher elevation with thinner atmosphere, which means more UV exposure than most people realize, even on cloudy days. Combine that with a population that loves lakes, ski slopes, and long summer evenings outside, and Treasure Valley skin takes a beating year-round. So how often should you actually get checked? The honest answer: it depends on your risk factors, but most adults are checking far less often than they should. **The General Rule: Once a Year for Most Adults** For the average adult with no personal or family history of skin cancer, an annual full-body skin exam with a board-certified dermatologist is the standard recommendation. This yearly baseline gives your provider a chance to track moles and spots over time, which matters more than people think — dermatologists aren't just looking for a scary-looking mole, they're looking for change. A mole that looked one way last year and looks different now is often more telling than a single snapshot in isolation. If you're unsure whether that annual visit is overdue, our guide on when Boise residents should schedule a screening walks through the seasonal timing that makes sense for our climate specifically. **Who Needs to Go More Often** Annual isn't a one-size-fits-all number. You should be checked every three to six months, not once a year, if any of the following apply to you: - You've had melanoma, basal cell carcinoma, or squamous cell carcinoma before - You have a first-degree relative (parent, sibling, child) with melanoma - You have a high mole count, especially atypical or irregularly shaped moles - You have fair skin, light eyes, and a history of sunburns, especially blistering burns before age 18 - You've used tanning beds regularly, even in the past - You have a weakened immune system due to medication or a medical condition - You work outdoors in Idaho's sun for extended stretches If several of these apply, it's worth having a direct conversation with your provider about a personalized schedule rather than defaulting to "once a year sounds fine." **What About Self-Checks Between Visits?** Self-exams don't replace professional screenings, but they matter in the months between. Learning the difference between what's normal and what's worth a phone call is genuinely useful — our breakdown of mole vs. skin tag differences is a good place to start if you're trying to figure out whether something needs a closer look now or can wait for your next scheduled visit. **Does Medicare Cover Skin Cancer Screening?** This is one of the most common questions we get, and the answer is a little nuanced. Medicare does not typically cover a routine, preventive full-body skin exam for someone with no symptoms and no diagnosed condition — in the way it covers, say, an annual wellness visit. However, Medicare Part B does cover the evaluation and treatment of a specific, suspicious lesion once it's been identified as a medical concern, along with biopsies and necessary follow-up care. In practice, this means: if you go in because you noticed a changing mole or a spot that won't heal, that visit and any resulting biopsy is generally treated as diagnostic care and covered accordingly, not as elective screening. If you have a documented history of skin cancer, follow-up surveillance visits are typically covered as well, since they're considered medically necessary monitoring rather than routine prevention. Coverage details vary by plan, supplemental insurance, and specific circumstances, so it's always worth a quick call to your insurance provider before your visit if cost is a concern. Our front desk team is also happy to help verify benefits ahead of time. **Finding Skin Cancer Screening in Boise** If you're searching for skin cancer screening in Boise and want a team that treats the exam itself with real care — not a rushed, three-minute glance — that's exactly the kind of visit Dr. Dustin Portela and Dr. Kelsey Ferrell built their practice around. Both are board-certified dermatologists, and both are fellowship-trained Mohs surgeons, which is a rare combination for a single practice in the Treasure Valley. That matters because it means the person examining your skin and the person who would treat a concerning finding are often one and the same team, with no unnecessary referral delays. Patients consistently mention that even on busy days, the office doesn't feel rushed — you still feel like their only patient. That's not an accident; it's how the practice is run. If it's been over a year since your last full-body check, or you've never had one, our skin cancer screening service page outlines exactly what to expect during your visit, from intake to the exam itself. And if a screening turns up something that needs a closer look, our team also handles everything from mole removal to melanoma treatment to Mohs micrographic surgery, all without you needing to start over with a new provider. Skin cancer is one of the most treatable cancers when caught early — but "early" only happens with consistent screening. If you're overdue, don't wait for a mole to start looking suspicious before booking. Get on a schedule now, and let your dermatologist tell you what your specific interval should be.
Dr. Portela
Board-Certified Dermatologist, Treasure Valley Dermatology
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