You can face a hefty bill if your appointment veers beyond the bounds of preventive services into medical treatment.
By Michelle Andrews March 16 at 11:00 AM When Beverly Dunn called her new primary care doctor’s office last November to schedule an annual checkup, she assumed her Medicare coverage would pick up most of the tab.
An annual physical typically involves an exam by a doctor along with bloodwork or other tests. The annual wellness visit generally doesn’t include a physical exam, except to check routine measurements such as height, weight and blood pressure. At subsequent annual wellness visits, the doctor and patient will review these issues and check basic measurements. Beneficiaries can also receive other covered preventive services, such as flu shots, at those visits without charge.
And to add more confusion, Medicare beneficiaries can opt for a “Welcome to Medicare” preventive visit within the first year of joining Medicare Part B, which covers physician services.Many patients want their doctor to evaluate or treat chronic conditions such as diabetes or arthritis at the wellness visit, said Michael Munger, who chairs the board of the American Academy of Family Physicians.
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