Medicare Blog

what to expect on your first medicare visit at your home

by Dr. Sophie Murray PhD Published 2 years ago Updated 1 year ago
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The visit includes: A review of your medical and family history A checkup to measure your height, weight, blood pressure and vision A discussion of your emotional health and risk for depression Personalized recommendations for any care you need – like screening tests or shots

This visit includes a review of your medical and social history related to your health. It also includes education and counseling about preventive services, including these: Certain screenings, flu and pneumococcal shots, and referrals for other care, if needed. Height, weight, and blood pressure measurements.

Full Answer

What can I expect at my “Welcome to Medicare” visit?

During the “Welcome to Medicare” visit, you can expect the doctor to: record your vital information (height, weight, blood pressure, body mass). review your personal and family health history. check risk factors that could indicate future serious illnesses.

What should I expect at my first doctor's visit?

This visit includes a review of your medical and social history related to your health and education and counseling about preventive services, including these: Certain screenings, flu and pneumococcal shots, and referrals for other care, if needed. Height, weight, and blood pressure measurements. A calculation of your body mass index.

How much does the Welcome to Medicare preventive visit cost?

You pay nothing for the “Welcome to Medicare” preventive visit if your doctor or other qualified health care provider accepts Assignment. The Part B Deductible doesn’t apply.

How many wellness visits do I get with Medicare?

Once you’ve been on Medicare for more than one year, you can get one covered wellness visit each year. These visits are similar to the welcome visit and focus on keeping you healthy – both physically and emotionally – and preventing disease. You are reading the “Getting started with your Medicare plan” series.

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How do I prepare for a Medicare visit?

Review your medical history and your health risk assessment. Develop or update a list of your current providers and medications. Take your height, weight, blood pressure and other routine measurements. Complete a screening for depression and for any problems with memory or thinking.

What happens during a Medicare wellness visit?

Your visit may include: A review of your medical and family history. A review of your current providers and prescriptions. Height, weight, blood pressure, and other routine measurements.

Do I have to do a Welcome to Medicare visit?

The “Welcome to Medicare” checkup is optional. You do not need to have had this checkup to qualify for later annual wellness visits; but Medicare won't pay for a wellness visit during your first 12 months in Part B.

What does a Medicare Physical involve?

An annual physical is a more extensive exam than a Medicare Annual Wellness Visit. In addition to these services, a typical annual physical might also include services such as a vital signs check, lung exam, head and neck exam, abdominal exam, neurological exam, and a check of your reflexes.

What does a Welcome to Medicare visit include?

This visit includes a review of your medical and social history related to your health. It also includes education and counseling about preventive services, including these: Certain screenings, flu and pneumococcal shots, and referrals for other care, if needed. Height, weight, and blood pressure measurements.

How long should a Medicare wellness visit take?

60 minutes. Typically, it will take 6-10 visits to achieve patient-provider goals.

Is an EKG required for Welcome to Medicare visit?

Is an EKG required during a Welcome to Medicare visit? No. Medicare Part B covers one electrocardiogram screening if you receive a referral from your doctor or other health care provider as part of your one-time Welcome to Medicare preventive visit. However, your doctor will not perform an EKG during your visit.

Does Medicare require an EKG?

Screening Electrocardiogram (EKG) – Medicare no longer deems the screening EKG as a mandatory service component of the IPPE. However, there is a once-in-a-lifetime screening EKG that is allowed as a result of a referral from an IPPE and must be performed at the time of the IPPE.

Is EKG part of Welcome to Medicare visit?

EKG screenings fall under the diagnostic test category and are part of your Welcome to Medicare visit. Medicare covers this test once in the Welcome to Medicare visit.

What is the difference between a wellness visit and a physical?

A physical exam helps your doctor figure out what the problem is and what needs to be done. When you're healthy and feeling good, you want to stay that way. A wellness exam helps your doctor understand what's working for you and how to best support your continued health and well-being.

Which is generally covered by Medicare for the homebound patient?

Medicare considers you homebound if: You need the help of another person or medical equipment such as crutches, a walker, or a wheelchair to leave your home, or your doctor believes that your health or illness could get worse if you leave your home.

What does a wellness check consist of?

During your wellness exam you may receive screening for cholesterol, blood pressure, diabetes, mammogram, pap test, osteoporosis, or STDs. Your doctor may ask you about current stress, physical activity, diet, or drug use such as tobacco and alcohol.

What is included in a welcome visit?

The visit includes: A review of your medical and family history. A checkup to measure your height, weight, blood pressure and vision. A discussion of your emotional health and risk for depression. Personalized recommendations for any care you need – like screening tests or shots. Even though your welcome visit is covered by Medicare, ...

How long does it take to transfer medical records from one office to another?

You generally don’t have to pay for this, but it can take a few weeks, so make sure you request the transfer a couple of weeks before your appointment. A list of your medicines.

Does Medicare cover welcome visits?

Even though your welcome visit is covered by Medicare, if your doctor recommends any extra care, tests or procedures during your visit, you might have to pay for them. You can always call your insurance company to check on the costs of these extras before you get them.

The cards in your hand

The two most important things to bring to your first doctor appointment, or any appointment, are:

Questions and answers

Your doctor is sure to have some questions for you. You should ask questions too. Here’s how you can both get answers. To your first appointment, bring:

What is the purpose of a Medicare wellness exam?

The purpose of the Medicare annual wellness exam is to develop or update your personalized prevention plan and perform a health risk assessment.

What is Medicare annual wellness exam?

The Medicare annual wellness exam is a free health benefit that includes a personalized prevention plan. Taking advantage of this important benefit can help beneficiaries take proactive steps to stay healthy.

Why do we do wellness exams?

That’s because the wellness exam gives you an opportunity to get personalized health advice. You can talk about any healthcare concerns you may have, ask questions about your medications, talk about changes to your diet or exercise routine and more.

Is the annual wellness exam covered by Medicare?

However, you may still have questions about the purpose of the exam and how it can help you. For instance, it’s important to know that the annual wellness exam is covered in full by Medicare, but it’s not the same as a routine physical exam, which isn’t covered by Medicare. This article answers some of the most common questions about ...

What to expect at a Medicare visit?

During the “Welcome to Medicare” visit, you can expect the doctor to: record your vital information (height, weight, blood pressure, body mass). review your personal and family health history. check risk factors that could indicate future serious illnesses. recommend tests and screenings that could catch medical issues early ...

Is a Medicare checkup free?

The “Welcome to Medicare” checkup is free of charge (no deductible, no copay) if the following conditions are met: If you’re enrolled in the original Medicare program, you need to go to a doctor who accepts “assignment” — meaning that he or she accepts the Medicare-approved payment as full compensation.

What is Medicare Part B?

Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services. covers a “Welcome to Medicare” preventive visit once within the first 12 months you have Part B.

What is coinsurance in Medicare?

The amount you must pay for health care or prescriptions before Original Medicare, your prescription drug plan, or your other insurance begins to pay. doesn’t apply. An amount you may be required to pay as your share of the cost for services after you pay any deductibles. Coinsurance is usually a percentage (for example, 20%). ...

What is a simple vision test?

A simple vision test. A review of your potential risk for depression and your level of safety. An offer to talk with you about creating advance directives. A written plan letting you know which screenings, shots, and other preventive services you need.

Do you pay for a welcome to Medicare visit?

You pay nothing for the “Welcome to Medicare” preventive visit if your doctor or other qualified health care provider accepts. assignment. An agreement by your doctor, provider, or supplier to be paid directly by Medicare, to accept the payment amount Medicare approves for the service, and not to bill you for any more than ...

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What Does Part B Of Medicare Cover

Medicare Part B helps cover medically-necessary services like doctors services and tests, outpatient care, home health services, durable medical equipment, and other medical services. Part B also covers some preventive services. Look at your Medicare card to find out if you have Part B.

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What Medicare Will Not Cover

Medicare will not pay for a number of services sometimes provided as part of home health care, including:

Which Parts Of Medicare Cover Blood Tests

Medicare Part A offers coverage for medically necessary blood tests. Tests can be ordered by a physician for inpatient hospital, skilled nursing, hospice, home health, and other related covered services.

How To Start Home Health Care

If your doctor has not mentioned home care to you but you feel it would be a good idea, make your wishes known. If you are looking at a long period of convalescence, home health care can be a better alternative to a long siege in the hospital or nursing facility.

Additional Information About Medicare

To learn more about Medicare, see the Medicare website. You can also inquire about your Arizona Medicare Part B claims for health services by calling Medicare at 800-633-4227. .

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