Annual Wellness Visits
What they are and what they mean to you and your patients.

Initial Preventive Physical Examination (IPPE)

The IPPE is the “Welcome to Medicare” preventive visit. Your patients can only get this visit within the first 12 months of their Medicare Part B enrollment. The visit includes a physical examination, a review of their medical and social history related to
their health, and counseling about Medicare preventive services. Their Medicare plan pays 100% of the cost of the exam, with no out-of-pocket expense to them. However, if we need to address other medical concerns at this visit, there may be a deductible or co-pay.

Annual Wellness Visit (AWV)

Your patients are allowed a comprehensive Annual Wellness Visit every 12 months. The AWV is used to provide and coordinate preventive services. You can use the AWV to personalize, develop, and update a treatment plan that prevents disease based on current health status and attributed risk factors. A Health Risk Assessment will be completed prior to or during the visit with your patient. You may also perform this visit with another routine visit. For example, if you are completing a follow-up, you may perform the AWV at no extra out-of-pocket expense to your patient.

Annual Routine Physical (ARP)

 This is a comprehensive examination to screen for disease, promote a healthy lifestyle, and assess your patient’s potential risk factors for future medical problems. The Annual Routine Physical is available to your Medicare Advantage patients and can be done along with the Annual Wellness Visit. Your Medicare patients are limited to the IPPE and subsequent AWVs.

ANNUAL WELLNESS VISITS

 This is a comprehensive examination to screen for disease, promote a healthy lifestyle, and assess your patient’s potential risk factors for future medical problems. The Annual Routine Physical is available to your Medicare Advantage patients and can be done along with the Annual Wellness Visit. Your Medicare patients are limited to the IPPE and subsequent AWVs.

WHAT TO EXPECT

You Should: Record and evaluate your patient’s medical and family history, current health conditions, medications, and supplements. Have your patient check their blood pressure, vision, weight, and height to get a baseline for their care. Make sure they are up-to-date with preventive screenings and services, like cancer screenings and shots. Order further tests, depending on their general health and medical history. After the visit, you should provide your patient with a plan or checklist with Medicare-covered screenings. What They Should Have For the “Welcome to Medicare” Exam:
  • Medical records, including immunization records. You should have them gather all the medical information they can to ensure nothing is missed, even if you are seeing a patient you have seen before.
  • Family health history. The information you obtain will offer you a better understanding of what your patient(s) needs may be.
  • Prescription drugs. They should have a list of any prescription drugs, over-the-counter drugs, vitamins, and supplements that they currently take, how often they take them, and why.
  • Reading glasses, if they need them. You may provide, or review, several forms, and screenings that may require them to fill out.

Preventive Services Dates

One-time “Welcome to Medicare” Preventive Visit – This visit occurs within the first 12 months your patient receives Medicare Part B. Yearly Annual Wellness Visits – The first visit occurs 12 months after your one-time “Welcome to Medicare” preventive visit; subsequent visits occur every 12 months, such as:
  • Abdominal Aortic Aneurysm Screening
  • Alcohol Misuse Screening and Counseling
  • Bone Mass Measurement (Bone Density Test)
  • Cardiovascular Disease (Behavioral Therapy)
  • Cardiovascular Screenings (Cholesterol/Lipids/Triglycerides)
  • Colorectal Cancer Screenings
  • Depression Screening
  • Diabetes Screening
  • Diabetes Self-Management Training
  • Annual Flu Shot (Vaccine)
  • Glaucoma Test
  • Hepatitis B Shot (Vaccine)
  • Hepatitis C Shot (Vaccine)
  • HIV Screening
  • Breast Cancer Screening (Mammogram)
  • Medical Nutritional Therapy Services
  • Obesity Screening and Counseling
  • Pap Test and GYN Exam
  • Pneumococcal Shot (Vaccine)
  • Prostate Cancer Screening
  • Sexually Transmitted Infection Screening and Counseling
  • Shingles Shot (Vaccine)
  • Tobacco Use Cessation (Counseling to Stop Smoking)