Annual Checkups
Do I really need an annual checkup every year?
Yes. No matter how healthy you feel, you still need an annual checkup. As we age, these examinations become even more important. For many of us, it’s our best chance to speak with a doctor about topics such as bladder control issues or a recent fall.
Watch the video to see why annual checkups are important.
What’s the difference between a wellness visit and a physical exam?
It’s important to know the difference between the two basic types of annual checkups included with most Medicare Advantage plans. Usually, you can complete both screenings during the same visit.
Annual wellness visit
What it is:
A once-per calendar year discussion with your doctor.
Exam includes:
Primarily a conversation about your health and disability/disease prevention.
Important to know:
Generally, this does not include an extensive physical examination.
Annual physical exam
What it is:
A thorough, hands-on examination, occurring once a year.*
Exam includes:
A full “head-to-toe” examination to check ears, lungs, eyes, and more.
Important to know:
Bloodwork and labs may not be covered by your plan.**
*Not always covered by all health plans. Check your benefits or call Customer Service to see what annual checkups are covered in your plan.
**Please note: You may need to pay coinsurance. Additionally, the Part B deductible may apply if your doctor or provider performs additional tests or services during the same visit. Medicare doesn’t cover additional tests or services under this preventive benefit. Make sure to consult with your provider before any exams are performed.
What to expect in each visit
Annual wellness visit
- Health questionnaire/survey
- Review of your medical history, current providers, and prescriptions
- Height, weight, blood pressure, and other routine measurements
- Simple vision test
- Personalized health advice
- A list of risk factors and treatment options for you
- A screening checklist for appropriate preventive services
- Advance care planning
Unlike physical exams: Medicare wellness visits include assessments, but usually not tests where the doctor physically touches you—unless you have a specific diagnosis or symptom.
Annual physical exam
- Bloodwork and physical tests to check your eyes, lungs, hearing, and more.
- Medical, social, and family history
- Risk factor review
- Discussion around chronic conditions
- Care plan for minor problems
- Age-appropriate counseling, tests, and vaccines including referrals
Schedule your annual checkup today
Download and sign in to the Sydney Health mobile app or your online plan website. From there, you can choose or change your primary care provider, and then schedule your checkup. Remember — lab tests may require a doctor’s order or prescription first.
You can use the app and plan website to schedule appointments with:
- Your doctor or primary care provider (PCP)
- Network labs
- Specialists
Keep your health in check with this handy list
Download this health checklist to go over recommended tests and screenings with your doctor.