Yearly "Wellness" visits

If you’ve had 

Medicare Part B (Medical Insurance)

 for longer than 12 months, you can get a yearly “Wellness” visit once every 12 months to develop or update a personalized prevention plan to help prevent disease and disability, based on your current health and risk factors. The yearly “Wellness” visit isn’t a physical exam.

Your costs in Original Medicare

You pay nothing for this visit if your doctor or other qualified 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.
  • These additional tests or services aren't covered under the preventive benefits.
What it is

This personalized prevention plan is designed to help prevent disease and disability based on your current health and risk factors. Your provider 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. It can also include:

Your provider will also perform a cognitive assessment to look for signs of dementia, including Alzheimer’s disease. Signs of cognitive impairment include trouble remembering, learning new things, concentrating, managing finances, and making decisions about your everyday life. If your provider thinks you may have cognitive impairment, Medicare covers a separate visit to do a more thorough review of your cognitive function and check for conditions like dementia, depression, anxiety, or delirium.

If you have a current prescription for opioids, your provider will perform services during your visit.

Is my test, item, or service covered?

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