Medicare Wellness Exam

Learn the costs of your yearly Medicare wellness exam

by Katie Banks+ on May 16, 2014 | 4 Comments

Medicare offers many preventive services at no cost to beneficiaries, including a wellness exam once a year. Here is how your wellness exam works for you.

What is a Wellness Exam?

A Medicare Wellness Exam is offered once every twelve months (11 full months must have passed since your last visit) if you’re enrolled in Medicare. In your first year of being enrolled you will receive a Preventive visit. You do not need to have taken advantage of your preventive visit to be eligible for your wellness visit each year. According to the CMS website you should expect the following during your visit:

  • Health Risk Assessment questionnaire
  • Review of your medical and family history
  • Developing or updating a list of current providers and prescriptions
  • Height, weight, blood pressure, and other routine measurements
  • Detection of any cognitive impairment
  • Personalized health advice
  • A list of risk factors and treatment options for you
  • A screening schedule for appropriate preventive services. Get details about coverage for screenings, shots, and other preventive services

Eligibility for Wellness Exam

All Medicare recipients are eligible, however you MUST have Part B for twelve full months before your eligibility begins.

Are There Any Costs for Wellness Exam?

Sometimes. For the wellness exam itself, the deductible is waived, as well as there is no charge for the above consultation. However, if your doctor orders test or screenings you may be responsible for the Medicare Part B 20% coinsurance charge and deductible. If you prefer not to pay any out of pocket costs you should look into a Medicare Supplement plan that can cover copays, coinsurance, and deductibles, as well as, extending hospitalization stays by 365 days.

For further questions about how to cover potential Medicare costs call the number above or click here to get

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Reader Comments and Questions

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By Carole on April 23, 2019

Can a doctor dismiss you as a patient if you refused the Medicare Wellness Exam even though it is optional?

We have never heard of that issue before. Give Medicare a call directly to confirm their policy at 1-800-633-4227.
-Chris from

By Jean on February 08, 2019

It is my understanding that those of us on Medicare are not allowed to join an "Obamacare" plan as an alternative. Is this true and is there any hope for this to change? I am totally unimpressed with Medicare coverage and cost.

Hello Jean,
Unfortunately you are right. Once you are enrolled in Part A, it is our understanding that you cannot join an Obamacare plan.

-Chris from

By Ronald on April 08, 2018

My question is more less a follow up to Kasha's question from Nov.10.2017 of which I have included below. I to have a similar Medicare question - My Dr. has lead me to believe that the Obama's Health Care Plan that supposedly went into effect and IT NOW forces us on Medicare to have or take a Physical Exam REQUIRED BY LAW every 6 Months to keep our Medical Drug Subscriptions active. So that I can continue to receive and to have my subscriptions filled by my doctor ------- (1) Is this true that the PHYSICAL EXAM IS EVEN REQUIRED by law? (2) Is it true that there REQUIRED EVERY 6 MONTHS? (3) Is there ANY TIME LAW REQUIREMENT AT ALL as to how often or WHEN a Physical exam is required? Your reply would be greatly appreciated!

A physical exam is not required by law. BTW Medicare does not even offer Physical Exams. They offer Wellness Exams and they are optional.
-Chris from

By Kasha on November 10, 2017

I receive Medicare. Is it required by the government that I have the annual wellness exam (which is a joke by the way)?

No, the Wellness Exam is not required
-Eric from

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