“Yearly 'Wellness' visitAlthough provided at no cost, you may be responsible for additional coverage costs if additional tests or services are required beyond this routine visit. In Medicare Advantage plan documentation, you may find such language as:
If you’ve had Part B for longer than 12 months, you can get a yearly “Wellness” visit to develop or update your personalized plan to prevent disease or disability based on your current health and risk factors. The yearly “Wellness” visit isn’t a physical exam. Medicare covers this visit once every 12 months.
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.
Your visit may include:
Your provider will also perform a cognitive assessment to look for signs of dementia, including Alzheimer’s disease.
- routine measurements [such as height, weight, blood pressure, and body mass index or BMI],
- health advice,
- a review of your medical and family history,
- [a review of] your current prescriptions [and healthcare providers],
- [advice about] advance care planning [where, if you become unable, legal documentation are in place for someone else to make healthcare decisions] and more [including nutrition information, recommendations of additional routine screenings and preventative services].
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 and design a care plan.” [links and formatting added]
“Annual wellness visit
If you've had Part B for longer than 12 months, you can get an annual wellness visit to develop or update a personalized prevention plan based on your current health and risk factors. This is covered once every 12 months.
There is no coinsurance, co-payment, or deductible for the annual wellness visit.
Note: Your first annual wellness visit can't take place within 12 months of your "Welcome to Medicare" preventive visit.
However, you don't need to have had a "Welcome to Medicare" visit to be covered for annual wellness visits after you've had Part B for 12 months.
If your physician performs additional diagnostic or surgical procedures or if other medical services are provided for other medical conditions in the same visit, then the appropriate cost-share applies for those services rendered during that visit.” [links and formatting added]
"How to prepare for your wellness visit "