Medicare Part B covers the Annual Wellness Visit if:
Additionally, you cannot receive your AWV within the same year
as your Welcome to Medicare preventive visit.
During your first Annual Wellness Visit, your PCP will develop your personalized prevention plan. Your PCP may also:
Check your height, weight, blood pressure, and other routine measurements
Give you a health risk assessment
Review your functional ability and level of safety
Make a list of your current providers, durable medical equipment (DME) suppliers, and medications
Create a written 5-10 year screening schedule or check-list
Screen for cognitive impairment, including diseases such as Alzheimer’s and other forms of dementia
Provide health advice and referrals to health education and/or preventive counseling services aimed at reducing identi fied risk factors and promoting wellness
If you qualify, Original Medicare covers the Annual Wellness Visit at 100% of the Medicare-approved amount when you receive the service from a participating provider. This means you pay nothing (no deductible or coinsurance). Medicare Advantage Plans are required to cover AWVs without applying deductibles, copayments, or coinsurance when you see an in-network provider and meet Medicare’s eligibility requirements for the service.
During the course of your AWV, your provider may discover and need to investigate or treat a new or existing problem. This additional care is considered diagnostic, meaning your provider is treating you because of certain symptoms or risk factors. Medicare may bill you for any diagnostic care you receive during a preventive visit.