Comprehensive Visit
We encourage our members to receive both their Medicare Annual Wellness Visit and annual physical exam each year.
While Original Medicare only covers the Annual Wellness Visit, Generations Advantage covers both at a $0 copay.
These preventive visits serve as the primary platform for the annual assessment and documentation of each member’s health.
We encourage our members to schedule these two services back-to-back in one longer appointment that we call a “Comprehensive Visit.” This affords primary care providers time to examine and develop health goals with their patients and to document the visit.
Why is the Comprehensive Visit important?
1. To promote the health and wellbeing of our Generations Advantage plan members and patients.
Together, the Medicare Annual Wellness Visit and the annual physical exam promote:
- Early detection and treatment of acute and chronic conditions
- Development of care plans to close gaps in care and meet CMS-prescribed quality measures
- Access to our free disease-management programs
2. To comply with CMS Medicare Advantage program requirements to validate applicable diagnosis data each year.
Generations Advantage and our network providers share responsibility for the documentation that we are required to submit to CMS regarding the health status of our members/your patients.
The comprehensive visit allows Providers the time to conduct a full system review and to document existing diagnoses that may have been reported in error—accurately capturing the current health status of Generations Advantage members/patients.
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