What Type of Appointment Do I Need?

Not feeling well? Need a check-up? Getting the care you need begins with scheduling the correct type of appointment. Our goal is to assist you in understanding the most common insurance guidelines that affect the type of visit we bill. We also want to ensure we set aside the proper amount of time to care for you. Outlined below is general information to help you distinguish between the different types of appointments offered.

  • Complete Physical or Annual Preventive Visit - The purpose of a complete physical or annual preventive visit is prevention of illness. During this type of visit, time is spent reviewing medical history, medications, risk factors and stable chronic conditions. A thorough preventive physical examination is performed - as appropriate based on age, gender and condition. A longer appointment time allows for appropriate counseling and ordering of tests and services to reduce the risk of illness in the future.

    The visits are generally free to patients with insurance and typically involve no co-pay. This visit type is limited to once every twelve months; however, there may be limitations based on an individual's benefits.

    If a patient has current symptoms. complaints or unstable medical problems, a physical or preventive visit would not be performed. This would be considered a problem-only visit. Routine co-pays, coinsurance and deductibles will apply to this visit type, depending on the individual's benefits.

  • Follow-Up - Follow-up appointments can be scheduled for a number of reasons, like maintenance medication refills, caring for a chronic disease, such as high blood pressure or diabetes, or discussion of test results. Generally, a follow-up visit will be scheduled as the patient leaves the office. Routine co-pays, coinsurance and deductibles will apply to this visit type.

  • Problem-Only Visit - During problem-only visits, time is spent addressing current symptoms or problems. A review of chronic medical problems and medications may also be addressed during these visits. Routine co-pays and deductibles will apply to this visit type, depending on the individual's benefits.

  • Medicare Annual Wellness Visit - During a Medicare annual wellness visit, time is spent reviewing a personalized prevention health plan. This plan is designed to help prevent disease and disability based on current health and risk factors. Individuals complete a Health Risk Assessment as part of this visit. This visit is covered by Medicare once every 12 months. Acute problems addressed during the annual wellness visit will be billed separately to Medicare. Applicable cost share may apply.

Thank you for entrusting your care to Health First Medical Group.