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At the age of 65, people
become eligible for a
specific annual Medicare
benefit. In general,
Medicare does not pay for
routine examinations.”
However, Medicare
will cover your first
preventative physical
exam within the first 12
months of your eligibility.
Following this first exam,
Medicare does not cover
future preventative visits
(
such as an annual physical
exam), but will cover a
specialized visit which is
referred to as an annual
wellness visit. During an
annual wellness visit you
will meet with a nurse who
works very closely with
your primary care provider
(
PCP). These visits are an
opportunity to talk about
your medical history,
review any risk factors and
develop a personalized
care plan that can be used
by you and your PCP to
keep you healthy.
It is important to
understand the value of an annual wellness visit.
According to the National Council on Aging,
approximately 70% of Medicare beneficiaries have
one chronic condition;
nearly 40% have two or
more. The personalized
care plan developed
during these visits is a
tool that will help you
improve health and
prevent disease. Think of
it as a customized guide
that will help you manage
your health based on your
specific health care needs.
If there are any risks or
health concerns identified
during your visit, your
nurse will set up additional
lab tests and screenings
as appropriate. Following
the return of those results,
an appointment will be
scheduled with your PCP
to review the information.
If there are no risks or
concerns identified during
your annual wellness visit,
you may not need to see
your PCP.
For more information or
to schedule your annual
wellness visit, call your
PCP’s office. You may also
receive a letter from New
London Hospital, Medicare or both letting you know
you are eligible.
Medicare Annual Wellness Visits
What AreThey? What Do I Need to Know?
5
Important Things to Know
Annual wellness visits are
FREE
.
Medicare pays for 100% of the visit.
Annual wellness visits are
NOT
routine
physical exams.
The costs for treatment or management
of issues that are identified during the
visit are not included as part of the free
wellness visit.
If you never had your “Welcome to
Medicare” Preventive Visit (IPPE) you
are still eligible for annual wellness visits
once you turn 66 and every year after.
When you make your appointment,
specify that you are scheduling a
Medicare annual wellness visit and
confirm you will not be charged any
cost-sharing for the visit.
What is included in an annual
wellness visit?
A comprehensive review of your
medical and family history
Development or updating a list
of your current providers and
prescriptions
Height, weight, blood pressure and
other routine measurements
Detection of any cognitive impairment
Personalized health advice
A list of risk factors and treatment
options for you
A screening schedule (like a checklist)
for appropriate preventive services
Medicare will
cover your first
preventative
physical exam
within the first
12
months of
your eligibility.
Approximately
70%
of Medicare
beneficiaries
have one chronic
condition; nearly
40%
have two
or more.