This is a complex question as payment structure will vary depending on your individual insurance plan. We have listed some of the commonly used payment structures across most insurances.

Problem Visits (ex: knee pain, influenza, diabetes, hypertension, etc): These are general visits that address both acute and chronic problems. The cost to you is determined by the complexity of the presented condition along with your relevant deductible and copay costs.

Preventative Visits (Annual Physical): These visits help to prevent you from getting sick. They DO NOT cover acute/chronic condition management. However, unlike problem visits, commercial (non-Medicare) insurance will cover this once a year free of charge. A visit will typically consist of a physical exam along with age appropriate screening (ex: labs, colonoscopies, DEXA scans, etc)

Preventative Visits (Medicare Annual Wellness Visit): Think of these like “mini” physicals specific to Medicare patients. We say “mini” because, unlike traditional annual physicals offered by commercial plans, they focus on preventative health in the form of risk mitigation. These do not include a physical exam/screening labs/acute or chronic condition management.