Medicare Wellness Visits

Medicare Covers an Annual Wellness Visit (AWV) for Medicare patients

The criteria for the Medicare Wellness Visit includes:

  • Are not within the first 12 months of their first Medicare Part B coverage period
  • Have not received an Initial Preventive Physical Examination (IPPE) or AWV within the past 12 months

This annual wellness visit includes a Health Risk Assessment, providing Health Promotion and Disease Prevention Services to Medicare Beneficiaries. Some of the items discussed will be your family health history, medical history, current medications, and activities of daily living, fall prevention, and nutrition. Each eligible Medicare beneficiary will be required to complete a questionnaire each year for this visit.

Eligible Medicare beneficiaries can prepare for their AWV by bringing the following information:

  • Medical records, including immunization records
  • Family health history, in as much detail as possible
  • A full list of medications and supplements, including calcium and vitamins how often and how much of each is taken or just bring your medications with you
  • A full list of current providers and suppliers involved in providing care

Frequently Asked Questions (FAQs)

Is the AWV the same as a beneficiary’s yearly physical?
No. The AWV is not a “routine physical checkup” that some seniors may get every year or so from their physician or other qualified non-physician practitioner. Medicare does not cover routine physical examinations.

Are clinical laboratory tests part of the AWV?
No. The AWV does not include any clinical laboratory tests, but we may make referrals for such tests as part of the AWV, if appropriate.

Do deductible or coinsurance/copayment apply for the AWV?
No. Medicare waives both the coinsurance or copayment and the Medicare Part B deductible for the AWV. Provided no other services for illnesses or disease management are performed in the same visit.