The Medicare Wellness Visit differs from a routine physical because it focuses on preventing disability and disease. During this visit, you and your health care provider (a doctor, nurse practitioner, physician assistant, or nurse) will develop a personalized plan for your health and wellness goals.
Is the Medicare Wellness Visit free?
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. If you’ve had Medicare Part B (Medical Insurance) for more than a year, you’re eligible for a free annual Medicare Wellness Visit. As long as your health care provider accepts Medicare Assignment, you don’t have to pay anything for this visit. If they perform additional services or tests and Medicare doesn’t cover these services or tests, you may be required to pay an additional fee. Ask your provider if you have questions.
During your first Annual Wellness Visit, your Personal Care Provider (PCP) will develop your personalized prevention plan.