Does Medicare Cover Annual Physicals?

The importance of preventive care cannot be underestimated. Citing the Centers for Disease Control (CDC), seven out of 10 deaths in the United States are caused by conditions categorized by the medical community as preventable. Preventive screenings and consultations present an opportunity to identify markers of chronic disease and infections that may be treatable, potentially expanding life expectancy and/or quality of life.  

Medicare Benefits Solutions

Nov 23, 2020

timer 3 minutes read

Preventive visit within the first year

Medicare Part B covers the cost of visits to the doctor as well as outpatient care, home health care, durable medical equipment and mental health services. Within the first 12 months of enrollment in Part B, you are eligible to see your doctor for what Medicare refers to as the “Welcome to Medicare preventive visit.” Services include the following:

  • Review of medical history and health-related social history.
  • Education and consultation regarding preventive services.
  • Referrals for other health care services if applicable.

As long as the qualified healthcare practitioner accepts assignment, this is a free one-time visit. Assignment means that the provider has agreed to accept the payment received directly from Medicare and refrain from billing you beyond any deductible or coinsurance that may be due. When you schedule the appointment and state your request for a “Welcome to Medicare preventive” visit, no charges should be applied. 

If your doctor conducts tests or performs services beyond the preventive benefits listed above, then the deductible and coinsurance may apply. If you have a routine physical exam during this time, it may not be covered at all because it is outside the parameters of services for this type of visit. 

Medicare wellness visits

A yearly wellness visit is a benefit available to Medicare recipients who have been enrolled in Part B for over 12 months. The purpose of this visit is to construct or update a plan specific to your health status. Based on any health and risk factors present, the intent of this plan is to prevent disease or disability. As in the “Welcome to Medicare” preventive visit, a physical exam is excluded. However, the physician may administer a cognitive impairment assessment to identify any signs of dementia or Alzheimer’s disease. Completing a health risk assessment is part of this visit as well as a review of preventive services and any referrals needed. 

When scheduling the appointment, be sure to state that you would like your yearly wellness visit. These annual Medicare wellness visits are free of charge as long as your qualified health care practitioner accepts assignment and does not perform any additional services beyond the scope defined by Medicare. The one-time “Welcome to Medicare” preventive visit is not a prerequisite for the yearly wellness visit, but the annual cannot occur until you have passed the 12-month mark for Part B enrollment.

Medicare physical exams

Original Medicare does not cover routine annual physicals. Any outpatient exams that Medicare approves based on your doctor’s recommendation would be subject to the Part B deductible and 20% coinsurance. If you participate in a Medicare supplement plan, you may be eligible for full or partial coverage of the coinsurance. Many Medicare Advantage (MA) plans cover a no-fee annual physical within network and a percentage of the cost out-of-network. 

SELECT * from wp_posts p INNER JOIN wp_term_relationships tr ON tr.object_id = p.ID INNER JOIN wp_terms tm ON tm.term_id = tr.term_taxonomy_id INNER JOIN wp_term_taxonomy tx ON tx.term_id = tr.term_taxonomy_id where p.post_type='post' and p.post_status='publish' and tx.taxonomy ='category' and tm.term_id in (56) and p.ID NOT IN (1102) group by p.ID ORDER BY p.post_date DESC LIMIT 9

Find a new Medicare plan

Get a plan recommendation based on what's important to you.

Got questions?

Call a licensed sales agent at

or TTY 711

Mon to Fri 5 am - 8 pm PT | Sat 5 am - 5 pm PT | Sun closed

Send us a message

We aim to reply within 24 hours.

    Medicare Benefits Solutions is a non-government website. By submitting information on this site, I am providing my written consent for Medicare Benefits Solutions, herein after referred to as “Medicare Benefits”, which is a brand operated by HealthCompare Insurance Services Inc., its agents, or affiliates to contact me (even if I’m on a state or national do not call registry) at the phone number or email address listed to provide me with quotes or information about Medicare products. I further consent to such calls or texts sent via autodialer, automated technology, prerecorded message and/or artificial voice. I understand my consent is not a condition of purchase and that I can revoke my consent at any time via Additional charges may apply to SMS, call, or Internet usage depending on your data providers.

    Find a plan

    find a plan
    Get plan recommendations

    Compare your current Medicare plan to our recommendations – then choose the plan that gives you more of the things you want.