MEDICARE PREVENTIVE VISITS

INITIAL PREVENTIVE PHYSICAL EXAMS AND ANNUAL WELLNESS VISITS

Alameda Alliance for Health (Alliance) is your partner in health. Below is a summary of some check-ups that are important for your health.

Your First Year: The “Welcome to Medicare” Visit (also known as the Medicare Initial Preventive Physical Exam IPPE)

  • When to get it: During your first 12 months with any Medicare Part B plan. This exam is only done once per lifetime.
  • What happens: You and your doctor talk about your health history and how to stay healthy. Your doctor will complete a physical exam.

Every Year After: The Annual Wellness Visit

  • When to get it: Once a year, after you have been with any Medicare Part B plan for over 12 months.
  • What happens: You have a talk with your care team about screenings (tests), labs, and referrals to specialists. This visit is not a physical exam.

These check-ups give you time with your doctor to make a care plan and are at no cost to you. Call your doctor’s office today to learn more and set up your appointment.

WHAT TO BRING TO YOUR VISIT

  • Alliance Wellness ID card
  • A list of your medications
    • Prescription medications
    • Over-the-counter medications
    • Vitamins
    • Herbal products
  • A list of all the healthcare providers and specialists you see
  • A list of recent emergency room visits and hospital stays
  • A list of your health questions and goals

 

WHAT A NURSE OR DOCTOR WILL DO DURING THE VISIT:

  • Review your medical and surgical history
  • Review your medications and allergies
  • Complete a health risk assessment (HRA)
  • Measure your height, weight, and blood pressure
  • Check your mobility and safety
  • Discuss memory, thinking, and healthy aging
  • Discuss emotional well-being and support
  • Discuss health risks, treatment options, and next steps
  • Develop a care plan to support your health and wellness goals
FREQUENTLY ASKED QUESTIONS

How much do these visits cost?

  • These visits are at no cost under your Part B Medicare Coverage. “Welcome to Medicare Visits” are covered once per lifetime. “Annual Wellness Visits” are covered once every 12 months. Additional tests, services, or treatments may require an extra cost.

Why is a “Welcome to Medicare Visit” important?

  • This visit helps your doctor understand your health history so you can make a plan to stay healthy. During this visit, your doctor will:
    • Complete a physical exam
    • Learn more about your health history
    • Talk about screenings (tests), labs, and referrals to specialists

Why is an “Annual Wellness Visit” important?

  • This visit is a time for you and your doctor to create or change your care plan. These visits include:
    • Questions about your health and health status
    • A discussion on treatments you may need to improve your health and wellness

Who will I see during these visits?

  • Your doctor and care team work together to support your health. This team may include nurses and physician assistants. They will all help to provide care and create your health plan.

How long are the visits?

  • Your visit can take 20 minutes to 1 hour. Someone from your doctor’s office may call you a few days before your appointment. They will remind you about the visit and ask you a few health questions over the phone.

What do I do if I do not have a PCP?

  • It is important to talk to a primary care physician (PCP) about your health care needs. You can choose a PCP who is right for you by calling Member Services today.Alameda Alliance Wellness Member Services Department
    Seven (7) days a week, 8 am – 8 pm
    Toll-Free: 1.888.88A.DSNP (1.888.882.3767)
    People with hearing and speaking impairments (TTY): 711/1.800.735.2929

How do I get an interpreter for my visit?

How do I get transportation for my visit?

  • Transportation services to appointments are offered through our transportation provider, Modivcare. To request a ride, call us least three (3) business days (Monday–Friday) before your appointment. If your appointment is urgent, call as soon as possible.
    Alliance Transportation Services
    Toll-Free: 1.866.791.4158
    People with hearing and speaking impairments (TTY):1.800.735.2929.
  • To view and download our D-SNP Transportation flyer, please select your preferred language:
    English | Spanish | Chinese | Vietnamese| Farsi | Tagalog

Alameda Alliance Wellness is an HMO D-SNP plan with a Medicare contract and a contract with the California State Medi-Cal (Medicaid) Program. Enrollment in Alameda Alliance Wellness depends on contract renewal.

This information is not a complete description of benefits. To learn more about your plan benefits and covered services, please review your Alameda Alliance Wellness Member Handbook.

H2035_26_03955_D-SNP_MBR_MRWP_M Accepted 09282026