Medicare annual wellness visits
As part of your Medicare coverage, you are offered an Annual Wellness Visit that provides you and your primary care provider an opportunity to discuss your current risk for illness and injury and develop a preventive plan of action.
Medicare annual wellness visits
Why should I schedule an annual wellness visit?
As part of your Medicare coverage, you are offered an annual wellness visit that provides you and your primary care provider an opportunity to discuss your current risk for illness and injury and develop a preventive plan of action.
Schedule Your Next AppointmentWhat will this visit cost?
While there is no copay for the annual wellness visit, there may be a copay for any labs or diagnostic imaging conducted during the visit.
When can I get an annual wellness visit?
If you are within the first 12 months of your Medicare Part B enrollment, you qualify for a one-time “Welcome to Medicare” preventive visit. Once you have been enrolled in Medicare for more than 12 months, you can schedule your annual wellness visit each year.
What is an annual wellness visit?
It is an opportunity for you and your provider to discuss your current risk for illness and injury and develop a preventive plan of action that includes your choices for future medical care.
During your visit, your provider will:
- Take your vital signs, such as height, weight and blood pressure
- Ask questions about your current health status, level of safety and any future health risks
- Screen for depression, dementia, Alzheimer’s and other cognitive issues
- Update your medical history, current medications, and discuss other providers who are contributing to your care
You will have the option to discuss advance care planning with your provider, so that your choices about your future medical care can be documented.
Based on your discussion with your provider:
- You will work together to develop (or update) a written preventive care screening schedule
- Your provider may offer health advice, education and/or referrals to other providers to reduce risk factors
How is an annual wellness visit different from other visits
- Your provider will not conduct a full physical exam, such as listening to your heart, lungs, etc.
- You will probably not get screenings or blood tests during this visit
| Visit Location | Annual Wellness Visit | Annual Physical |
|---|---|---|
| Conduct in office | Yes | Yes |
| Conduct via Telehealth | Yes | No |
| Frequency | Annual Wellness Visit | Annual Physical |
|---|---|---|
| Annually | Yes | Yes |
| Insurance | Annual Wellness Visit | Annual Physical |
|---|---|---|
| Covered by insurance | Yes | Depends on plan type |
| Copay required | Yes | No |
| Exam Elements | Annual Wellness Visit | Annual Physical |
|---|---|---|
| Create or renew prevention plan | Yes | No |
| Physical examination | No | Yes |
| Routine measurements (height, weight, BP, BMI) | Yes | Yes |
| Review medical history | Yes | Yes |
| Assess risk factors and treatment options | Yes | No |
| Review HRA questionnaire | Yes | No |
| Update list of providers and prescriptions | Yes | No |
| Look for signs of cognitive impairment | Yes | No |
| Set up screening schedule for preventative services | Yes | No |
| Head and neck exam | No | Yes |
| Lung exam | No | Yes |
| Abdominal exam | No | Yes |
| Neurological exam | No | Yes |
| Reflex testing | No | Yes |
| Lab work (blood and/or urine samples) | Coinsurance/Deductible may apply | No |
How should I prepare for my annual wellness visit?
Be sure to bring the following information to your appointment:
- A list of all of the healthcare providers and durable medical equipment companies that contribute to your healthcare, including community based providers (e.g., personal care, adult day care, home-delivered meals, etc.)
- A list of all your medications, including calcium and vitamins, as well as the dose you take and how often your take them (If you’d prefer, you may bring in all of your current medication bottles.)
- Any results of screening tests you may have received from other providers (e.g., screenings for colon cancer, breast cancer, etc.)
- Any documentation you may have regarding your choices for future medical care, such as an advance directive or healthcare power of attorney
- Any questionnaires or paperwork that you may have been asked to complete prior to your visit
Can my annual wellness visit be done via Telehealth?
- Limited patient companions, which limits the overall traffic in our office
- Expanded cleaning of patient areas (and removed shared items like magazines)
- Screening patients and their companions
- Practicing social distancing (extra space between seating)
- Applying CDC guidance
- Constantly evaluating procedures (ensuring that they are aligned with CDC guidelines)
In certain cases, you may be eligible to receive your annual wellness via a telehealth appointment. Your provider’s office can help determine if you are eligible.