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Making the Most of Your Medicare Wellness Visit Medicare Resource Center What to Expect From a Medicare Wellness Visit The annual meeting with a doctor is not the same as an exam monkey business images/getty images Nearly 55 years ago, Medicare revolutionized the way older Americans would get their health care
But few services in the popular program are totally free — except for the annual wellness visit
Since 2011, Medicare has paid for enrollees to and talk about how they’re doing, discuss what screenings, vaccinations, blood tests and other diagnostic exams they should have, and plan the best way to monitor the patient’s health needs
But research shows that an overwhelming majority of Medicare patients aren’t using their benefit
That same report found that more than half of physician practices that see Medicare patients weren’t routinely offering the wellness visit
Some doctors say that the wellness visit is widely misunderstood
It is not, professionals stress, the same thing as an annual physical
“I think the wellness visit was misnamed,” says Audrey Chun, a geriatrician and associate professor of geriatrics and palliative medicine at Mount Sinai’s Icahn School of Medicine in New York City
Even though Medicare calls this annual conversation a “wellness visit,” many people refer to it as a “wellness exam
” “It should have been called an annual counseling session or something like that,” Chun says
Some questions include: Have you noticed any changes in your , vision or hearing? Are you up to date on your immunizations and screenings? Is your home safe from the risk of falls? How is your emotional health — are you depressed or lonely? Do you have a and any other advanced care wishes? Navigate coverage options, prescription rules and more at our
Patients, Chun adds, should make sure to bring a list of any medications they take and any other doctors they are seeing to a wellness visit
And write down anything that is bothering you, including any changes you’ve noticed in your health over the past year
Patients face no copay or other costs associated with the wellness conversation, but they should expect to be charged for any medical services
“These charges can come as a surprise to patients,” says Ishani Ganguli, an assistant professor of medicine at Brigham and Women’s Hospital in Boston and coauthor of several articles on the Medicare wellness visit
Ganguli says that in her practice, patients are given a paper that explains what charges they may expect
“I even have a very hard time,” Ganguli says
“It seems so unpleasant to me, and I don’t want to lessen the dignity of our interaction by bringing up the price
It feels very crass
Ganguli also says that, like the wellness visit, the term “annual physical” is also misunderstood and outdated
“There’s not much evidence that older adults need — a head-to-toe exam,” which Medicare doesn’t pay for, Ganguli says
Patients who have chronic conditions, such as diabetes, high blood pressure or other maladies, are likely to already see their physician at least once a year to monitor medication and treatments
A full-blown annual physical, she says, is a “shotgun approach” to health care, and in the case of some tests, especially those that require radiation, they can harm more than help the patient
“A physical exam should be based on your conditions, based on your age and on any symptoms you might be having,” Chun says
“These exams should be personalized
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