What to Expect With Your Annual Medicare Wellness Visit

The Medicare wellness exam, or Annual Wellness Visit (AWV), provides an annual opportunity for Medicare beneficiaries to create or update their personalized prevention plan.

This exam is part of an effort by Medicare to encourage seniors to be proactive about their health and engage more in preventive health services.

Man and nurse smiling while she checks his blood pressure

The Welcome to Medicare Visit vs. the Annual Wellness Visit

Your Medicare Annual Wellness Visit is different from your initial Welcome to Medicare doctor’s office visit.

During the first 12 months of being enrolled in Medicare Part B, you may participate in the Welcome to Medicare visit. The appointment is covered in full by Medicare, as long as it is performed by a doctor who accepts Medicare assignment.

This appointment will include a review of your medical history, and your doctor will conduct a variety of health assessments, which can include:

  • Height, weight and blood pressure measurements
  • Body mass index (BMI) calculation
  • Vision tests
  • A review of your risk for depression
  • Certain screenings for appropriate preventive services

Based on the results, your doctor will then formulate a written personalized prevention plan for you. This personal plan will detail which preventive services and screenings are recommended for you, along with advice on your diet, lifestyle and overall well-being.

Your doctor will also offer to speak to you about creating advance directives. An advance directive is a legal document that you write to determine how you would want your health care to be administered if you were unable to speak for yourself.

The Medicare Annual Wellness Visit

Once you have a baseline of your health established by your Welcome to Medicare exam, you may then return to your doctor each year for your Annual Wellness Exam.

Note: you are not required to attend a Welcome to Medicare visit in order to be covered for your Annual Wellness Visit.

Your Medicare Annual Wellness exam serves as a regular follow-up to assess any changes in your health over the previous year and track the progress of your personalized prevention plan.

You will be asked to fill out a “Health Risk Assessment,” which includes a series of questions about your health, diet and lifestyle.

Your Annual Wellness Visit will also include many of the routine procedures performed in the “Welcome to Medicare” visit, such as checking your weight and blood pressure.

During your Annual Wellness Visit, your provider will provide a number of health care services, such as:

  • Checking for signs of cognitive impairment
  • Developing or updating a list of your current health care providers and prescriptions
  • Providing personalized health advice
  • Creating a list of risk factors to your health
  • Forming a schedule for appropriate preventive services

How much does the Medicare Annual Wellness Visit cost?

Just like the “Welcome to Medicare” exam, the Annual Wellness Visit is covered in full by Medicare, as long as your doctor accepts Medicare assignment.

Although the visit is covered in full, there may be costs to you if your doctor orders additional tests or performs services not covered by Medicare’s preventive benefits.

Medicare preventive services

Medicare covers a number of preventive screenings and tests. Medicare also provides coverage for services like alcohol abuse counseling, nutrition therapy, obesity counseling and more.

Medicare Advantage plans (also called Medicare Part C) provide the same coverage benefits as Medicare Part A and Part B combined into one plan. Many Medicare Advantage plans also offer additional benefits that Original Medicare doesn’t cover, such as certain preventive care and membership to wellness programs like SilverSneakers.

Maintaining preventive health care can help you live a longer and healthier life, and it can also help reduce your medical spending by potentially helping you avoid costly procedures.

Make an appointment with your doctor today for your Medicare Annual Wellness Visit, or call a licensed insurance agent to learn about additional preventive care benefits that can be found in a Medicare Advantage plan.

To speak with an agent, call TTY Users: 711 24 hours a day, 7 days a week.

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