Preventive care · 4 min read
Medicare Annual Wellness Visit vs. Routine Physical
A Medicare Annual Wellness Visit focuses on a health risk assessment and a personalized prevention plan. CMS describes it differently from a routine physical exam, which Medicare generally does not cover as a standalone benefit.
Key answer
The short version
A Medicare Annual Wellness Visit focuses on a health risk assessment and a personalized prevention plan. CMS describes it differently from a routine physical exam, which Medicare generally does not cover as a standalone benefit.
What an Annual Wellness Visit covers
CMS describes an Annual Wellness Visit as an opportunity to develop or update a personalized prevention plan and perform a health risk assessment. It can include a review of history, providers, measurements, risks, preventive services, and referrals as appropriate.
Why the wording matters
“Annual physical” and “Annual Wellness Visit” are often used informally, but coverage and included services can differ. Ask your insurer and the clinic what visit type is scheduled and whether a separate problem-focused service could affect your cost.
Prepare for the visit
Bring your medication list, prior records if relevant, questions, and your insurance information. Starling Clinic can help you understand what to bring, but your plan is the source of truth for your individual coverage.
Sources
1. CMS, Medicare Wellness Visits
CMS comparison of IPPE, Annual Wellness Visit, and routine physical.
AWV elements and coverage details.