The Record header image

Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article

January 2022

Remember to conduct annual wellness visits for your Medicare Advantage patients

Blue Cross Blue Shield of Michigan and Blue Care Network cover annual wellness visits with no out-of-pocket costs for Medicare Plus Blue℠ and BCN Advantage℠ individual and group members. Members are eligible for an annual wellness visit if they’ve had Medicare Part B for longer than 12 months.

These visits involve developing or updating a personalized prevention plan services and conducting a health risk assessment for your patients. Providers can complete the annual wellness visit in the following locations: provider’s office, outpatient hospital or a patient’s home.

Services include:

  • An age- and gender-appropriate physical exam (including vital signs and measurements) and a cognitive assessment
  • Guidance, counseling and risk-factor reduction interventions
  • Administration or ordering of immunizations, lab tests or diagnostic procedures

Blue Cross recognizes the importance of preventive care to our members' health and encourages providers to discuss with their patients the risk factors identified in the assessments.

For additional information, including how to bill the initial and subsequent annual wellness visits, refer to Medicare Wellness Visits,** on the Centers for Medicare & Medicaid Services’ Medicare Learning Network webpage.

**Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.