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This Medicare Mistake Could Leave You With an Unexpected Bill
Investopedia· 2026-01-31 01:01
Core Insights - Understanding the distinction between wellness visits and routine physical exams under Medicare can lead to significant cost savings for patients [1][5] Group 1: Medicare Coverage - Medicare Part B provides yearly wellness visits at no cost to patients, covering preventative and medically necessary services [1] - Routine physical exams are not covered by Medicare Part B, requiring patients to pay 100% of the cost [1][5] Group 2: Appointment Types - Wellness visits involve reviewing medical history, lifestyle information, and providing guidance on screenings, while routine physical exams are more comprehensive, including blood tests and physical examinations [2] - To ensure coverage, patients should focus on typical wellness visit components and avoid discussing unrelated medical issues that could incur additional charges [3] Group 3: Scheduling and Frequency - Wellness visits are covered only once every 12 months, and patients must wait at least 12 months after enrolling in Medicare Part B or after their initial preventive visit before scheduling a wellness visit [4]