Annual Wellness Visits
It is first important to understand that an Annual Wellness Visit (AWV) is not the same as a yearly physical. If you have Medicare Part B, you are entitled to an Annual Wellness Visit to develop or update a personalized prevention health plan.
This plan is designed to help prevent disease and disability based on your current health and risk factors. Your provider and healthcare team will ask you to fill out a questionnaire, called a “Health Risk Assessment,” as part of this visit. Answering these questions can help you and your provider develop a personalized prevention plan to help you stay healthy and get the most out of your visit.
Topics Addressed In Your Annual Wellness Visit
This visit is covered once every 12 months (11 full months must have passed since the last visit).
Who Is Eligible For An Annual Wellness Visit
Anyone who has Medicare Part B. Medicare covers an AWV for all beneficiaries who are no longer within 12 months after the effective date of their first Medicare Part B coverage period.
Costs In Original Medicare
You pay nothing for the “Welcome to Medicare” preventive visit or the yearly “Wellness” visit. The Part B deductible doesn’t apply.
However, you may have to pay coinsurance, and the Part B deductible may apply if:
- Your doctor or other healthcare provider performs additional tests or services during the same visit.
- These additional tests or services aren't covered under the preventive benefits.
Is the AWV the same as a yearly physical?
No. The AWV is not a “routine physical checkup” that some seniors may get every year or so from their physician or nurse 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 your provider may make a referral 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.
To learn more or to schedule your Annual Wellness Visit, call one of our Care Partner team members. Olivia Mock, 270-688-3220 or Amy Rowe, 270-688-3292.