What is an Annual Preventive Exam? (PLEASE READ!)
An annual preventive exam is a very specific office visit provided by insurance companies for their clients. It involves a once-a-year visit to your primary care provider, for a general health check. Annual preventive exams are also called a routine check-up, yearly exam, annual pap, or preventive visit. An annual preventive exam visit does not include discussions of new medical problems or a detailed review of older ones. This designation is not set by Avante, but rather is a detailed directive from the insurance companies. If Avante does not follow it, you could receive a denial of payment for the visit or labs and it could be viewed as insurance fraud. Thank you in advance for your understanding.
Please schedule a separate appointment if you have other health concerns.
Examples of non-covered services in an Annual Preventive Exam include:
• A list of medical concerns regarding new or past medical conditions.
• New health care problems found at the time of your annual preventive exam.
• Ongoing health problems that need attention. • Labs that are needed for ongoing medical conditions or new concerns that are not listed below
What should I expect during my Annual Preventive Exam?
• General physical exam (including breast exam)
• Labs that are considered preventive (CBC, CMP, Lipid, PAP (21 and over), PSA (40 and over), and Mammogram (40 and over)
• Pelvic exam (pap smear)
• Update of life and work situations
• Update of family health history (any new serious illnesses in your family)
• Review of your health history
• Update of your current medications, herbs, and supplements (bring list)
• Need for medication refills (that do not require labs)
• Evaluation of need for health screening tests based on age and personal and family history (such as mammogram, test for sexually transmitted diseases, and colon cancer screening)
What happens if you have a health problem or concerns that come up during your Annual Preventive Exam?
You and your Provider will decide whether to use the time to address new or chronic health problem(s), in which case your annual preventive exam visit can be rescheduled and you will be billed for a standard office visit or you may choose to continue with your annual preventive exam and schedule an appointment for another day to address your medical concerns. This also applies to new labs that are for new conditions that are not listed above, as a medical diagnosis is required for us to order most labs. Scheduled appointment times do not allow for both due to insurance contract requirements.