Types of Appointments
When scheduling an appointment with any Genesis Health Group office, we will try to figure out how much time you need with the doctor and what type of visit you need. It is also important that you know your insurance coverage prior to scheduling a physical, well-child visit or other preventive visit.
Read below to find out more about the different types of office visits:
Most of the time patients are seen as "office visits". This appointment time is used to discuss new or existing problems. The questions and exam will focus on the problems discussed.
A "physical" or "preventive health exam" is a thorough review of your general wellbeing. The doctor will review your medical history, perform a complete physical exam and make recommendations concerning your health.
This may include general recommendations regarding:
- diet and exercise
- age appropriate immunizations
- cancer screening exams such as a pap test, prostate exam or breast exam
- screening lab work
During your physical, ongoing chronic conditions and medication refills can be addressed as long as the condition is stable and does not require a significant change in treatment or additional tests. If the doctor discovers your current medical conditions require changes in treatment, your practitioner may choose to have you reschedule your physical and address the current conditions presented. Your provider could choose to address both the problems and the physical at the same session. However, there would be two separate charges for these two visits.
These visits require a physical exam and specific paperwork from a school. These exams are generally not covered by insurance. However, Genesis Health Group does offer these at a reduced cost if paid in full at the time of service and not performed in conjunction with other services.
Medicare Initial Preventative Physical Exam
Within the first year (12 months) of enrolling in Medicare Part B, members may receive this limited exam. The visit includes recording and evaluating your medical and family history, current health conditions and prescriptions. Your doctor will check your blood pressure, vision, weight and height. Your doctor will ensure you are up-to-date with preventive screenings and services such as cancer screenings and immunizations. Your doctor may order further test, depending on your general health and medical history. This visit is a limited exam and more of a discussion with your provider.
Medicare's Annual Wellness Visit (AWV)
After the initial 12 months of being enrolled in Medicare Part B, members are eligible for this visit annually. There is no out-of-pocket expense to the Medicare member. The AWV includes:
- Routine measurements such as height, weight and blood pressure
- Review of medical and family history
- Establishing a list of current providers, suppliers and medications
- Personal risk assessment
- Review of functional ability and level of safety
- Establishing a schedule for Medicare's screening and preventive services over the next 5-10 years
- Voluntary advanced care planning
Is the annual wellness visit the same thing as an annual physical exam?
No. The annual wellness visit is not a physical. In addition to collecting medical history, a physical exam may include: head and neck exam, heart and lung exam, abdominal exam, neurological exam, dermatological exam, and extremities exam. You may choose to have a physical at another visit, but Medicare will not pay for the service.
Screening and Diagnostic labs
A screening test is defined as one given to patients with no signs or symptoms of a disease. An example would be measuring cholesterol levels in people who have no symptoms of cardiovascular disease.
A diagnostic test is used to rule out or confirm a suspected condition, monitor a diagnosis or when patients have been exposed to specific diseases. When there is a diagnostic reason for the test, the appropriate condition, illness or disease diagnosis code must be appended to the laboratory CPT code, even if the test is ordered in conjunction with screening tests and/or as a result of an annual exam.
Financial Questions? Get them answered here.