All members who are enrolled in a CTPF Medicare health insurance plan qualify for an annual wellness visit once per calendar year covered at 100% of the Medicare approved amount, when you see an in-network doctor. Members who participate in the Humana HMO must see their PCP to receive the visit at no charge. 

An Annual Wellness Visit (AWV) is a yearly appointment with a healthcare provider (PCP) where you can create or update your personal health plan and to make sure you are taking all the steps necessary to preserve and maintain your good health.  

During your annual wellness visit, your health care provider may check your blood pressure and height and weight (together your height and weight make up your body mass index, or BMI), and physical and emotional well‑being. Your health care provider may also talk with you about any recommended tests or screenings, and answer questions or concerns you may have. It’s also an opportunity to make sure you are up-to-date on recommended vaccines.  

To help make the most of your annual wellness visit, bring: 

• A list of any prescriptions or over-the-counter drugs, vitamins and supplements you currently take 

• Notes about your medical history and your family health history 

• A list of any questions or concerns you may have such as what types of physical activity are right for you, what can you do to help maintain or improve your health or what can you do to prevent falls and other accidents. 

Keep in Mind 

• Timing is important and the visit cannot be within the same year as your “Welcome to Medicare Visit” and you have to have 12 months in between your last annual wellness visit.  

• During the AWV, your provider may discover and need to investigate or treat a new or existing problem. This additional care may be considered “diagnostic” and may not be covered by the wellness visit. Medicare may bill you for your portion of the payment for diagnostic care received during a preventive visit.  

Contact your health provider/doctor today to schedule your annual wellness visit. Need help locating a Primary Care Provider? Check your health plan’s website or call the number on the back of your health insurance card for assistance.