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QUESTIONS

How often will Medicare pay for a physical exam?

HomeQuestionsPrimary CareRoutine Physical ExamsHow often will Medicare pay for a physical exam?

Quick Answer

Medicare covers one Initial Preventive Physical Exam (the "Welcome to Medicare" visit) within your first 12 months of enrollment, and one Annual Wellness Visit (AWV) per year thereafter. The Medicare AWV is structured differently from a traditional physical — it focuses on a health risk assessment, cognitive screen, fall-risk review, and a written prevention plan. If you need a more comprehensive exam beyond what Medicare's AWV covers, that's typically billed as a separate problem-focused visit and may have a cost share.

This question comes up frequently for patients researching routine physical exams at Good Health NC in Knightdale, NC.

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