If you’re on Medicare, then chances are you’ve gotten a letter or reminder about scheduling your Medicare Annual Wellness Visit (AWV). And if you’re like many people, you might be wondering: Do I really need this?, or even, can you refuse a Medicare wellness visit?
At Senior Insurance Solutions, we hear this question often. As licensed Medicare specialists, our job isn’t just to help you choose a plan; it’s to give you the information and support you need to feel confident in your healthcare decisions. Whether you’re already enrolled or still need to enroll in Medicare, we’re here to answer all of your questions.
Let’s walk through what a wellness visit is, whether you can skip it, and why many people still choose to take advantage of it.
What Is a Medicare Wellness Visit?
A Medicare Wellness Visit isn’t the same as a full physical exam. Instead, it’s a yearly appointment covered under Medicare Part B that focuses on preventive care. During this visit, your provider will:
- Review your medical and family history
- Update your list of medications
- Conduct a Health Risk Assessment
- Check your height, weight, blood pressure, and other basic measurements
- Screen for cognitive health and depression
- Provide personalized advice for staying healthy
- Discuss advance care planning if you’d like
If it’s your first year on Medicare, you’ll also be eligible for the Initial Preventive Physical Examination (IPPE) — sometimes called the “Welcome to Medicare” visit. After that, you can schedule an Annual Wellness Visit every 12 months.
Can You Refuse a Medicare Wellness Visit?
Yes, you can absolutely refuse or decline a wellness visit. These appointments are voluntary. If you don’t want to schedule one, nothing happens to your Medicare coverage. You won’t be penalized, and your benefits will remain the same.
The important thing to understand is that the wellness visit is offered as a benefit, not a requirement. It’s there to help catch health issues early and give you a chance to talk with your doctor about your overall well-being. But if you’d rather not participate, that’s entirely your choice.
Why Many People Choose to Schedule One Anyway
Even though you can refuse a wellness visit, many people find them valuable. Here’s why:
- Early Detection: Preventive screenings may uncover health issues before they become serious.
- Personalized Health Plan: Your provider will help you set goals and review your care plan.
- Medication Review: Catching interactions or outdated prescriptions can improve safety.
- Cognitive & Emotional Health Checks: Memory screenings and depression questionnaires can be helpful for early intervention.
- No Extra Cost: Medicare Part B covers wellness visits at 100% when you see a participating provider.
In short, while it’s not mandatory, the AWV is a chance to stay on top of your health — without paying anything out of pocket.
Wellness Visit vs. Annual Physical Exam
Here’s where confusion often happens: a Medicare Wellness Visit is not the same thing as a traditional physical.
- A physical exam usually includes lab work, a head-to-toe exam, and diagnostic tests.
- A wellness visit is focused on preventive care, health risks, and planning for the future.
Medicare does not cover a yearly physical exam. If you schedule one, you may be billed. That’s why it’s important to be clear with your provider’s office about requesting a wellness visit specifically.
When Refusing Might Make Sense
There are situations where skipping your wellness visit might be reasonable, such as:
- You already have frequent doctor visits and feel your health is closely monitored.
- Mobility or transportation challenges make it difficult to attend another appointment.
- Personal preference — some people simply don’t feel the need.
If you decide to refuse, just know that the option is always there for you later. You can schedule your Annual Wellness Visit at any time once you’re ready.
Your Wellness, Your Decision
So, can you refuse a Medicare wellness visit? Yes. You’re not required to attend, and your benefits won’t change if you skip it. That said, it’s a free opportunity to check in with your provider, catch potential issues early, and build a plan for healthier years ahead.
At Senior Insurance Solutions, we’re here to help you navigate Medicare with confidence. Whether you’re weighing your wellness visit, comparing Medicare plans, or planning for the future, our team will guide you every step of the way.
Contact Senior Insurance Solutions today to get clear answers and personalized support for all your Medicare questions.
Frequently Asked Questions About Wellness Visits
Can you refuse a Medicare wellness visit?
Yes. The visit is voluntary. Refusing it does not impact your Medicare benefits or coverage.
Will skipping it affect my coverage?
Nothing changes with your coverage. You simply won’t receive the screenings and preventive services that are part of the AWV.
What happens if my provider finds something during the wellness visit?
If new health concerns come up, your doctor may recommend diagnostic tests, lab work, or a follow-up appointment. These may be billed separately and could involve out-of-pocket costs.
Can I choose not to answer certain questions during my wellness visit?
Yes. The visit is meant to support your health, not pressure you. You can decline to answer any questions you’re uncomfortable with, though providing full information helps your provider create the best prevention plan for you.
Does the Annual Wellness Visit include blood tests or cancer screenings?
Not automatically. The AWV may lead to recommendations for tests or screenings, but those are separate services. Some may be fully covered, while others could have a cost depending on your plan.
Can I switch providers for my wellness visit?
Yes. You can schedule your wellness visit with any provider who accepts Medicare. Many people choose their primary care provider so results are part of their ongoing medical record.
