Turning 18 comes with a lot of “firsts,” including taking more responsibility for your health. Along with more independence comes new responsibility, like managing appointments, understanding your insurance and speaking up about your care. For many teens and families, the move from pediatric to adult healthcare can feel overwhelming at first.  

The good news? Preparing early can make the transition much smoother. 

Whether your teen has a chronic condition or just visits the doctor once a year, learning how adult healthcare works is something they’ll use for the rest of their life. Here’s what families should know about transitioning to adult care and how to prepare now.

what changes when you turn 18?

At age 18, you become a legal adult. This means: 

• You make your own medical decisions  
• Healthcare providers will speak directly to you  
• Your medical records become private  
• Parents or caregivers can no longer access your information without permission  
• Medical bills will be in your name 

Even if you stay on a parent’s insurance plan, these responsibilities will shift to you. 

why transitioning to adult healthcare matters

Learning how to manage your health helps build confidence over time. It also prepares teens for college, work, sports and everyday adult life.  

For teens with chronic conditions or ongoing medical needs, planning ahead is especially important. 

tips for teens preparing for adult care

The best time to prepare for adult healthcare is before turning 18. Small steps now can help teens feel more confident later. 

1. Start taking part in appointments

Practice answering questions during doctor visits instead of letting a parent answer everything. Try asking at least one question during each appointment. 

2. Learn about your health history

Teens should know: 

• Current medications  
• Allergies  
• Past surgeries or medical conditions  
• Family health history  
• Vaccine history  

Keeping this information organized can make appointments much easier. 

3. Practice real-life healthcare tasks

Begin practicing skills like: 

• Scheduling appointments  
• Checking in at visits 
• Refilling prescriptions  
• Logging into MyChart  
• Calling the doctor’s office with questions  

These are small steps that build confidence over time. 

4. Understand HIPAA and medical privacy

HIPAA is a law that protects private health information. Once a teen turns 18, healthcare providers can’t share medical information with parents or caregivers without permission. 

Teens can choose to share access by signing a release of information form. 

transitioning to adult care for teens with chronic conditions

Teens with chronic illnesses, complex medical needs or disabilities may need extra support during this transition. 

Some conditions require ongoing care into adulthood. These conditions may include: 

• Diabetes  
• Epilepsy  
• Asthma  
• Heart conditions  
• Gastrointestinal disorders  
• Mental health conditions  

Families should start talking with their healthcare team early about transition planning, adult specialists and long-term care needs. 

a simple healthcare transition checklist 

Before turning 18, teens should try to: 

• Know their medications and allergies  
• Carry an insurance card  
• Schedule an appointment on their own 
• Refill a prescription  
• Log into MyChart  
• Ask questions during appointments  
• Understand who has access to their health information  

growing into independence

Transitioning to adult care does not happen overnight. It is a gradual process that takes practice, patience and support from both teens and caregivers. 

With preparation and guidance, teens can feel more confident taking charge of their health and future. 

If you have questions about transitioning to adult healthcare, talk with your child’s primary care provider for additional support and resources.