What is not covered in the Medicare Annual Wellness Visit?

What is not covered in the Medicare Annual Wellness Visit?(AWV)?

Medicare AWV does not include blood work, lab tests, X-rays, or a physical examination. Additional services beyond the scope of AWV may incur charges.

Does the Medicare wellness exam include blood work?

No, blood work is not included in the Medicare Annual Wellness Visit but can be ordered separately and billed separately.

Does Medicare pay for doctor visits?

Yes, Medicare Part B covers 80% of the Medicare-approved amount for medically necessary doctor visits. Preventive services are typically covered 100% without a deductible.

Does Medicare have a copay for doctor visits?

For medically necessary doctor visits, beneficiaries generally pay a 20% coinsurance after meeting the Part B deductible. Preventive visits like the AWV have no copay.

How many doctor visits does Medicare cover for seniors?

There is no fixed limit for medically necessary doctor visits; coverage depends on medical necessity. Preventive visits like the AWV are covered annually.

How often does Medicare pay for gynecological exams?

Medicare covers Pap smears and pelvic exams every 24 months (or annually for high-risk women). It also covers breast exams and screenings for STIs.

Is the Medicare cognitive test mandatory for the Annual Wellness Visit?

The cognitive assessment is a required component of the Medicare Annual Wellness Visit but beneficiaries can discuss opting out or further testing. More detailed cognitive assessments are covered if medically necessary.

Can I refuse a Medicare wellness visit?

Yes, you can choose not to have an Annual Wellness Visit or other preventive visits. It is voluntary.

Does Medicare cover annual physicals?

No, Medicare does not cover traditional annual physical exams. However, it covers the "Welcome to Medicare" preventive visit during the first 12 months of Medicare Part B and the Annual Wellness Visit thereafter.

Does Medicare pay for yearly physicals?

You can see any healthcare provider who accepts Medicare and is eligible to perform the AWV, including physicians, nurse practitioners, physician assistants, and other qualified medical professionals.

Does Medicare require annual physicals?

No, Medicare does not require annual physicals.

Summary

• AWV covered 100% by Medicare Part B, no cost to patient.
• AWV and Welcome to Medicare visit are preventive; physicals are not covered.
• One AWV per 12 months allowed.
• Blood work and physical exam not included in AWV.
• Doctor visits covered if medically necessary with coinsurance.
• Cognitive tests part of AWV but can be declined.
• Gynecological screenings covered every 24 months or annually for high risk.
• Wellness visits are optional, not mandatory.

Take Charge of Your Health — Book Your Medicare Annual Wellness Visit (AWV) in Kingman, Arizona with Northern Arizona Medical Group (NAMG)

At Northern Arizona Medical Group (NAMG), your health and wellness are our top priority. If you are a Medicare patient in Kingman, Bullhead City, Lake Havasu, or nearby communities, our care team is here to guide you through your Annual Wellness Visit and beyond. Don’t wait — take the first step toward better health today.