Once a year, you make an appointment with your primary care physician to make sure your health is in good working order and detect potential concerns early, before symptoms are noticeable.

Most insurance plans cover your annual wellness exam — no copay required. However, you may find the actual components of a wellness visit a bit confusing and your plan coverage may have additional limitations so please do enquire with your insurance for details.

Review the FAQs below to learn what to expect during your next annual wellness visit V/S a Follow-up / Sick Visit

Please Advice the Provider if you wish to Separate out the Follow UP Visit , by Default we will treat it as a Combined Visit ( Follow-up with Annual Wellness / Physical) and charge for any procedures/items not covered under Annual Wellness / Physical as Follow-up Visit 

Your annual wellness visit includes the following:

• A review of your medical and surgical history
• Screenings - we generally follow screening recommendations of the USPSTF
• Order Blood tests /  Review Results 
• Immunizations - we follow the vaccine schedules published by the CDC
• A physical exam
• Counseling to prevent future health problems 

On the day of your appointment, please arrive on time and bring your insurance card and ID.

Specific issues are considered part of a follow-up or “sick” visit. These aspects of your visit will be billed to your insurance, and you may be responsible for copayments, coinsurance or deductible payments, based on the terms of your policy.

If you would like to address non-routine concerns during your wellness visit, you can let your doctor know about these issues when you schedule your appointment. Depending on their complexity, the questions may need to be dealt with at a later time.

• Treatment of a chronic condition such as diabetes, asthma or high blood pressure
• Any new problems or complaints
• Your need for new medications or tests
• Referrals to a specialist
• Medication Refills
• Additional treatment options

The Medicare annual wellness visit, covered by Medicare, allows your health-care provider to conduct a health risk assessment and propose screenings and prevention strategies. As well, your provider will make sure all your immunizations, cancer screenings and other preventive screenings are reviewed and ordered.

Your Medicare wellness visit does not include a detailed physical exam or management of chronic or new medical problems. Your physician may be able to perform a complete physical and address new or existing medical issues during your Medicare annual wellness visit, but you could incur additional Charges Based on your insurance coverage 

At your Medicare annual wellness visit, your health care provider will:

• Review your blood pressure, heart rate, height, weight and body mass index (BMI).
• Review your current health problems, as well as your medical, surgical, family and social histories.
• Review your current medications.
• Conduct a health risk assessment.
• Memory Testing .
• Discuss an exercise plan to fit your lifestyle.
• EKG.
• Discuss fall prevention.
• Discuss advance care planning.
• Discuss preventive screenings recommended by evidence-based practice guidelines that are indicated for you based upon your age, risk factors and family history

Bring these items to your visit:

• Immunization records
• A list of current prescribed medicines, supplements and over-the-counter medications
• A list of your patient care team—any specialists you see for various types of care
• Be prepared to review your family medical history.

Combining a wellness visit with a follow-up office visit will save you time by eliminating an extra appointment, but doing so may affect your costs.  Additional concerns beyond a wellness visit may be billed to your insurance, which can result in unplanned out-of-pocket costs to you depending on your Plan coverage .  

Please Advice the Provider if you wish to Separate out the Follow UP Visit , by Default we will treat it as a Combined Visit ( Follow-up with Annual Wellness / Physical) and charge for any procedures/items not covered under Annual Wellness / Physical as Follow-up Visit 

• Review your insurance plan’s summary of benefits before your appointment to understand what your insurance company will or will not cover.
• When scheduling a wellness visit, clearly state that you would like to make an appointment for your annual wellness or preventive care exam. That will help the practice prepare for your visit and bill your insurance company appropriately.
• When you speak with your doctor or other practitioner, let them know you are there for a wellness exam. Or, if you need to discuss a specific concern that may require treatment, make sure to bring their attention to any non-routine concerns at the start of your appointment.