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The Annual Wellness Visit (AWV) is a yearly appointment with your primary care provider (PCP) to create or update a personalized prevention plan. This plan may help prevent illness based on your current health and risk factors. Keep in mind that the AWV is not a head-to-toe physical. Annual Wellness Visits can be scheduled at the following locations:
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:
AWVs after your first visit may be different. At subsequent AWVs, your doctor should:
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.