Medicare Wellness Visit Guidelines

Medicare beneficiaries are eligible for an Annual Wellness Visit that focuses on establishing and maintaining a personalized prevention plan. Unlike the physical exam, the Medicare Wellness Visit is an opportunity for the provider and the patient to have a conversation about important topics such as home safety, health risks, advance directives and developing a care plan.  

A beneficiary is eligible for his or her first Annual Wellness Visit if he or she:

  • has had Medicare Part B coverage for at least 12 months, and
  • has not received either an Initial Preventive Physical Examination (IPPE or "Welcome to Medicare" visit) within the past 12 months.

See for details.

After the first Annual Wellness Visit, beneficiaries are eligible for subsequent Annual Wellness Visits every 12 months.

Provider Resources

Below you will find materials to help your practice understand the Annual Wellness Visit (AWV) and incorporate it into your work flow.

 

Scheduling

Best Practice Workflows

(Swim Lane Diagram)



(For EPIC users)

AOA体育平台 Accountable Care Organization Annual Wellness Visit and Annual Physical Coverage

Body Mass Index (BMI)

Cognitive Screening


Depression Screening

Fall Risk Screening and Prevention

Additional resources can be found on the AOA体育平台 Healthy Aging clinical guidelines page.

Hearing Loss 

 

Medicare Wellness Visit

(Medicare Learning Network)

(Medicare Learning Network)

Preventive Services

 (Medicare Learning Network)
Information on coding, coverage requirements, and patient cost-sharing for each Medicare preventive service.

Aging & Older Adult Care

AOA体育平台 provides programs, services and resources to help older adults protect their health and enjoy life. Learn more.