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"Welcome to Medicare" preventive visit

Medicare Part B (Medical Insurance) covers one “Welcome to Medicare” preventive visit. This isn't a physical exam.

  • Covered by Part B
  • Preventive Service
  • Once within the first 12 months you have Part B (Medical insurance)  

  • You pay nothing if your provider accepts assignment

Description

During this visit, your doctor or other health care provider will:

  • Review your medical and social history related to your health.
  • Give you information about preventive services, including certain screenings, shots or vaccines (like flu, pneumococcal, and other recommended immunizations).
  • Review your potential risk factors for substance use disorder (like alcohol and tobacco use), and depression, and refer you for treatment, if needed.
  • Give you referrals for other care as needed.
  • Calculate your body mass index (BMI).
  • Give you a simple vision test.
  • Offer to talk with you about creating advance directives. Advance directives are legal documents that record your wishes about future medical treatment, in case you’re ever unable to make decisions about your care.
  • Give you a written plan (like a checklist) letting you know what screenings, shots, and other preventive services you need. Get details about coverage for screenings, shots, and other preventive services.

Coverage details

When you make your appointment, let your doctor’s office know you'd like to schedule your “Welcome to Medicare” preventive visit. Bring the following to your appointment:

  • Medical records, including immunization records.
  • Family health history.
  • A list of any prescription drugs, over-the-counter drugs, vitamins, and supplements that you currently take, how often you take them, and why.

If you have a current prescription for opioids, your provider will review your potential risk factors for opioid use disorder, evaluate your severity of pain and current treatment plan, provide information on non-opioid treatment options, and may refer you to a specialist, if appropriate. Your provider will also review your potential risk factors for substance use disorder, and alcohol and tobacco use, and refer you for treatment, if needed.

Costs

You pay nothing for the visit if your doctor or other health care provider accepts assignment . 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 health care provider performs additional tests or services during the same visit that Medicare doesn't cover under this preventive benefit. If Medicare doesn't cover the additional tests or services (like a routine physical exam), you may have to pay the full amount.

How often

Once within the first 12 months you have Part B (Medical insurance) .