{"id":52447,"date":"2022-09-02T21:49:22","date_gmt":"2022-09-03T01:49:22","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=52447"},"modified":"2024-09-30T19:08:24","modified_gmt":"2024-09-30T23:08:24","slug":"medicare-annual-wellness-visit","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/medicare-annual-wellness-visit\/","title":{"rendered":"What is a Medicare Annual Wellness Visit?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">There are several different types of wellness visits that Medicare covers. The Medicare Annual Wellness Visit (AWV) (also called a \u201cMedicare wellness exam\u201d) is just one of them. Below, we\u2019ll go over what you can expect during your Annual Wellness Visit and how it differs from other exams.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Types of Medicare wellness visits<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are Medicare Annual Wellness Visits and Welcome to Medicare visits.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The goal of the Annual Wellness Visit is to create a comprehensive prevention plan, which may include a health assessment including vitals, family history and risk factors, hearing impairments, fall risk, cognitive impairment screenings, among many other things.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Welcome to Medicare visit is a preventive appointment that only occurs once within the first 12-months of joining Medicare Part B.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medicare does not cover an annual physical.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What is the Medicare Annual Wellness Visit?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The Medicare Annual Wellness Visit is an opportunity for you and your primary care provider to review how well-being impacts everything from mental health, cognitive function, fitness levels, and illness prevention.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This exam will help you and your healthcare provider create a personalized prevention plan that\u2019s tailored specifically to you based on your current health condition. This also includes evaluating any risk factors you may have been carrying with you over the years along with a cognitive assessment.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Who can perform the Medicare Annual Wellness Visit?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">An Annual Wellness Visit may be performed by a healthcare provider or other practitioner recognized by Medicare, such as a clinical nurse specialist, nurse practitioner, or physician assistant. The exam can also be performed by a professional who\u2019s working directly under the supervision of a physician.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">What\u2019s included?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Health risks vary for everyone, so your healthcare provider may ask you to fill out a questionnaire called a health risk assessment during this visit. Your visit may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Height, weight, body mass index (BMI), blood pressure, and other routine measurements.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">An evaluation of your list of current providers and prescriptions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A review of your family health history<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cognitive impairment assessment<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Any health education or advice suggested by your healthcare provider<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Review risk factors and any family history of depression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Level of safety and functional ability review<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Advance care planning<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A checklist of any recommended preventive services, like immunizations or screening schedules for certain health conditions<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/medicare-vaccine-coverage\/\"><b>Does Medicare cover vaccines?<\/b><\/a><\/p>\n<p><a href=\"https:\/\/healthcare.ascension.org\/doctors\/1265605026\/souhaila-amber-richardson-indianapolis-in\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Souhaila A. Richardson<\/span><\/a><span style=\"font-weight: 400;\">, MD, an internal medicine doctor at Ascension St. Vincent Hospital in Indianapolis regularly sees Medicare patients for their Annual Medicare Wellness Visits and focuses on <\/span><a href=\"https:\/\/www.wthr.com\/article\/news\/community\/check-up-13\/check-up-13-medicare-wellness-visits-linda-lupear\/531-c903692f-54fb-4a48-829b-cacb142e53a6\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">the four M&#8217;s<\/span><\/a><span style=\"font-weight: 400;\"> of the visit (mobility, mental wellness, medicines, and what matters most to the patient).<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">What questions are asked?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The health risk assessment is a comprehensive health questionnaire designed to help your physician come up with the best prevention plan for you. It will include questions about your lifestyle, medical history, and medications. There are also special Annual Wellness Visit questions that may be relevant in order to identify a list of risk factors or symptoms of certain conditions.<\/span><\/p>\n<p><b>Examples of some questions include:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Basics including your age and sex<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">During the past four weeks, how much have you been bothered by emotional problems such as feeling anxious, depressed, irritable, sad, or downhearted and blue?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">During the past four weeks, has your physical and emotional health limited your social history and activities with family friends, neighbors, or groups?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">During the past four weeks, how much bodily pain have you generally had?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">During the past four weeks, was someone available to help you if you needed and wanted help? (For example, if you felt very nervous, lonely, or blue; got sick and had to stay in bed; needed someone to talk to; or needed help with activities of daily living.)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">During the past four weeks, what was the hardest physical activity you could do for at least two minutes?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can you get to places out of walking distance without help? (For example, can you travel alone on buses or taxis, or drive your own car?)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can you go shopping for groceries or clothes without someone\u2019s help?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can you prepare your own meals?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can you do your housework without help?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Because of any health problems, do you need the help of another person with your personal care needs such as eating, bathing, dressing, or getting around the house?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can you handle your own money without help?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">During the past four weeks, how would you rate your health in general?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How have things been going for you during the past four weeks?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are you having difficulties driving your car?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do you always fasten your seat belt when you are in a car?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have you fallen two or more times in the past year?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are you afraid of falling?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are you a smoker?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">During the past four weeks, how many drinks of wine, beer, or other alcoholic beverages did you have?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do you exercise for about 20 minutes three or more days a week?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have you been provided any health advice to help you with hazards in your house that might hurt you or to help keep track of your medications?\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How often do you have trouble taking medicines the way you have been told to take them?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How confident are you that you can control and manage most of your health problems?<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">What\u2019s not covered?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Since this exam is not a routine physical exam, there are a few tests and items that are not included in your Medicare Annual Wellness Visit. These include blood work, X-rays, diagnostics or treatments for illnesses, new health concerns, and a physical exam.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Is it required?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The Medicare Annual Wellness Visit with your healthcare provider may seem like a hassle, but it\u2019s worth the time invested. Early detection and discussion about treatment options can save you money in costly treatments down the line. However, this exam is not mandatory.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">How much does it cost?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Your Medicare Annual Wellness Visit will fall under Medicare Part B. Since it\u2019s considered a Medicare preventive service, there are no out-of-pocket costs. The Medicare Part B deductible does not apply. There is no copay or coinsurance. Medicare covers 100% of the Medicare-approved amount if your healthcare provider is a participating Medicare provider.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Does Medicare cover annual physicals?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Medicare does not cover annual physicals. The Medicare Annual Wellness Visit differs from an annual physical exam since the AWV is more of an opportunity to create or update a personalized prevention plan\u2014not just to get a health status evaluation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While Medicare coverage does not include annual physical exams, it does cover a one-time Welcome to Medicare visit and an Annual Wellness Visit every 12 months.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/benefits-annual-doctor-checkups\/\"><span style=\"font-weight: 400;\">yearly physical exams<\/span><\/a><span style=\"font-weight: 400;\"> with your healthcare provider are not covered by Medicare, early detection of illness or disease can lead you down an easier path when it comes time for treatment options. If your routine physical exam is not your Welcome to Medicare visit or Annual Wellness Visit, you may pay 100% out of pocket. A physical exam may cost <\/span><a href=\"https:\/\/health.costhelper.com\/physical-exam.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">$50 to $200<\/span><\/a><span style=\"font-weight: 400;\"> out of pocket. Additionally, if your doctor conducts tests to treat or diagnose a condition identified during your Annual Wellness Visit, you may get billed for that service.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Do Medicare supplement plans cover annual physicals?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Medicare supplement plans sometimes cover items that Medicare doesn\u2019t, such as pints of blood, additional lifetime reserve days, etc. Review your Medigap information to find out if your policy covers annual physicals.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>There are several different types of wellness visits that Medicare covers. The Medicare Annual Wellness Visit (AWV) (also called a \u201cMedicare wellness exam\u201d) is just one of them. Below, we\u2019ll go over what you can expect during your Annual Wellness Visit and how it differs from other exams.\u00a0 Types of Medicare wellness visits There are [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":52448,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[15],"coauthors":[20918],"class_list":["post-52447","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-company","tag-medicare","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What is a Medicare Annual Wellness Visit?<\/title>\n<meta name=\"description\" content=\"A Medicare Annual Wellness Visit is not the same as an annual physical exam, which Medicare does not cover. Learn the difference and what to expect at your AWV.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/medicare-annual-wellness-visit\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is a Medicare Annual Wellness Visit?\" \/>\n<meta property=\"og:description\" content=\"A Medicare Annual Wellness Visit is not the same as an annual physical exam, which Medicare does not cover. Learn the difference and what to expect at your AWV.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/medicare-annual-wellness-visit\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2022-09-03T01:49:22+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-09-30T23:08:24+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/06\/medicare-annual-wellness-visit.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Lindsay Malzone\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Lindsay Malzone\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/medicare-annual-wellness-visit\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/medicare-annual-wellness-visit\\\/\"},\"author\":{\"name\":\"Christie Falzone\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/5ff7c7bb5ce0c66a6962ecf7c8d7941e\"},\"headline\":\"What is a Medicare Annual Wellness Visit?\",\"datePublished\":\"2022-09-03T01:49:22+00:00\",\"dateModified\":\"2024-09-30T23:08:24+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/medicare-annual-wellness-visit\\\/\"},\"wordCount\":1236,\"publisher\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/medicare-annual-wellness-visit\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/medicare-annual-wellness-visit.png\",\"keywords\":[\"Medicare\"],\"articleSection\":[\"Company\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/medicare-annual-wellness-visit\\\/\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/medicare-annual-wellness-visit\\\/\",\"name\":\"What is a Medicare Annual Wellness Visit?\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/medicare-annual-wellness-visit\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/medicare-annual-wellness-visit\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/medicare-annual-wellness-visit.png\",\"datePublished\":\"2022-09-03T01:49:22+00:00\",\"dateModified\":\"2024-09-30T23:08:24+00:00\",\"description\":\"A Medicare Annual Wellness Visit is not the same as an annual physical exam, which Medicare does not cover. 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