What is the difference between a physical exam and a Medicare Wellness Visit?

Published by Medicare Made Clear®

wellness visit physical

The difference between a physical exam and a Medicare Wellness Visit is basically the difference between your doctor focusing on what’s wrong versus on what’s right. Each is important, depending on the situation.

When you’re sick or in pain, you want to get better. A physical exam helps your doctor figure out what the problem is and what needs to be done.

When you’re healthy and feeling good, you want to stay that way. A wellness exam helps your doctor understand what’s working for you and how to best support your continued health and well-being.

Your doctor performs specific tasks in each of these two exams in order to achieve its purpose. See below for a chart that lists some of the services that may be covered in a physical exam versus a Medicare wellness visit, or that may be covered in both.

NOTE: this chart is not complete and you should ask your physician what is covered and your Medicare plan provider to understand how different health services may or may not be covered.

What’s included in a physical exam?

An annual physical exam is an assessment of your body’s health. The primary purpose is to look for health problems.

During the exam, your doctor uses his or her senses – mainly sight, touch and hearing – to gauge how your body is performing. Based on what’s learned, your doctor may ask you to have tests to discover or rule out possible health problems.

The list below shows some of the things your doctor may do during a physical exam.

Visually check your body overall for signs of existing health issues

Look into your eyes, ears, nose and throat for potential problems

Listen to your heart and lungs to detect irregular sounds

Touch parts of your body to feel for abnormalities

Test your motor function and reflexes

Perform pelvic and rectal exams

Measure your height, weight and blood pressure

As a rule, Medicare does not cover an annual physical. The exam and any tests your doctor orders are separate services, and you may have costs related to each depending on your Medicare plan.

What’s included in a Medicare Wellness Visit?

A Medicare Wellness Visit, also called a wellness exam, is an assessment of your overall health and well-being. The primary purpose is prevention – either to develop or update your personalized prevention plan. Medicare covers a wellness visit once every 12 months (11 full months must have passed since your last visit), and you are eligible for this benefit after you have had Part B for at least 12 months.

During the exam, your primary care provider combines information from the visit with your medical record to gauge your risk for common preventable health problems such as heart disease, cancer and type 2 diabetes. Based on what’s learned, your doctor creates your personal prevention plan with a checklist of screenings you need to have.

The list below shows some of the things your doctor may do during a wellness exam.

Review your health risk assessment (questions you answer about your health)

Confirm your medical and family history

Record your current prescriptions and providers

Measure and document your height, weight, and blood pressure

Look for signs of memory loss, dementia, or frailty

Document your health risk factors and treatment options

Provide personalized health advice

Develop a screening schedule (like a checklist) for the preventive services recommended for you

Medicare Part B covers an annual wellness exam and many preventive screenings with no copay or deductible. However, you may have to pay a share of the cost for certain recommended tests or services. And while it’s not mandatory, there are very good  reasons to have a wellness exam  every year.

What is a "Welcome to Medicare" visit?

Medicare Part B covers a "Welcome to Medicare" visit. This visit is also called an Initial Preventive Physical Exam (IPPE). You are eligible for this benefit once within the first 12 months you are enrolled in Part B

What to expect at your "Welcome to Medicare" visit

During the visit your provider will:

Record and evaluate your medical and family history, current health conditions and prescriptions.

Check your blood pressure, vision, weight and height to get a baseline for your care.

Make sure you are up-to-date with preventive screenings and services, such as cancer screenings and shots.

Order further tests, depending on your general health and medical history.

You do not pay a copayment for your "Welcome to Medicare" visit. The Part B deductible does not apply to the cost of the visit either.

After the visit, your provider will give you a personalized prevention plan or checklist with the screenings and preventive services recommended for you. These services are not part of the "Welcome to Medicare" visit. You may have to pay a co-payment for the recommended services when you get them. Your Part B deductible may also apply.

Learn more about what to expect at your Medicare wellness visit.

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Annual Physical Exam vs Annual Wellness Visit: Do I Need Both?

Are all annual visits the same.

Even though a routine trip to the doctor might not be the most enjoyable way for a person to spend time, most individuals know that annual checkups are essential for overall health. Some people call this doctor’s visit an annual physical exam, while other individuals use the term wellness visit. But is there a fundamental difference between the two types of visits? And if so, do people need both appointments?

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Annual physical exams explained

What is an annual physical exam ? This type of appointment centers around checking a patient’s physical health. Typically, standard vitals will be collected, such as measurements for height and weight and checking blood pressure and breathing. Additional diagnostic testing might be conducted if a patient has known medical conditions or a family history of specific diseases. Other standard tests that are completed during a physical exam include checking the head and neck, abdomen, and nervous system. A patient might also have reflexes checked and undergo blood draws or provide a urine sample.

Wellness visits explained

A wellness visit will also review a patient’s medical and family history and confirm essential health metrics such as weight, height, and blood pressure. But these types of visits focus less on general physical exams and instead prioritize making adjustments to prescriptions or scheduling future exams or preventative screenings. For example, a physician may recommend prescription drug alternatives such as a generic version during a wellness visit, which could save a patient money. Similarly, a physician may perform cognitive wellness screenings or focus on mental health concerns.

What’s the difference between the two appointments?

Physical exams and wellness visits can seem different names for the same process, but there is a distinction. Wellness visits usually lack the core aspects of a thorough physical, opting instead just for basic vitals such as height, weight, and blood pressure. Plus, two appointments are treated differently by insurers. Specifically for Medicare subscribers, an annual wellness visit is fully covered through the benefits program. In contrast, a physical exam is usually covered through private insurance but not by Medicare. While trying to draw a line between the two doctor’s appointments can seem like semantics, knowing the difference can prevent sticker shock when the appointment is over.

Do patients need both?

Over the years, physicians have expressed concern over mandating that patients engage in an annual physical exam. The concern centers around an increased risk of false-positive tests, over-testing, and of course, the associated costs which are passed down to the patients. Before deciding whether or not an annual physical exam is needed, patients should speak with a primary care provider. A physician can provide an informed recommendation based on a patient’s medical history.

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The Annual Wellness Visit (AWV) is a yearly appointment with your primary care provider (PCP) to create or update a personalized prevention plan. This plan may help prevent illness based on your current health and risk factors. Keep in mind that the AWV is not a head-to-toe physical. Also, this service is similar to but separate from the one-time Welcome to Medicare preventive visit .

Eligibility

Medicare Part B covers the Annual Wellness Visit if:

  • You have had Part B for over 12 months
  • And, you have not received an AWV in the past 12 months

Additionally, you cannot receive your AWV within the same year as your Welcome to Medicare preventive visit.

Covered services

During your first Annual Wellness Visit, your PCP will develop your personalized prevention plan. Your PCP may also:

  • Check your height, weight, blood pressure, and other routine measurements
  • This may include a questionnaire that you complete before or during the visit. The questionnaire asks about your health status, injury risks, behavioral risks, and urgent health needs.
  • This includes screening for hearing impairments and your risk of falling.
  • Your doctor must also assess your ability to perform activities of daily living (such as bathing and dressing), and your level of safety at home.
  • Learn about your medical and family history
  • Medications include prescription medications, as well as vitamins and supplements you may take
  • Your PCP should keep in mind your health status, screening history, and eligibility for age-appropriate, Medicare-covered preventive services
  • Medicare does not require that doctors use a test to screen you. Instead, doctors are asked to rely on their observations and/or on reports by you and others.
  • Screen for depression
  • Health education and preventive counseling may relate to weight loss, physical activity, smoking cessation, fall prevention, nutrition, and more.

AWVs after your first visit may be different. At subsequent AWVs, your doctor should:

  • Check your weight and blood pressure
  • Update the health risk assessment you completed
  • Update your medical and family history
  • Update your list of current medical providers and suppliers
  • Update your written screening schedule
  • Screen for cognitive issues
  • Provide health advice and referrals to health education and/or preventive counseling services

If you qualify, Original Medicare covers the Annual Wellness Visit at 100% of the Medicare-approved amount when you receive the service from a participating provider . This means you pay nothing (no deductible or coinsurance ). Medicare Advantage Plans are required to cover AWVs without applying deductibles, copayments, or coinsurance when you see an in-network provider and meet Medicare’s eligibility requirements for the service.

During the course of your AWV, your provider may discover and need to investigate or treat a new or existing problem. This additional care is considered diagnostic, meaning your provider is treating you because of certain symptoms or risk factors. Medicare may bill you for any diagnostic care you receive during a preventive visit.

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What Happens During a Wellness Visit?

Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.

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Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.

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Importance of a Wellness Visit

  • What to Expect
  • How to Prepare

A wellness visit is a health check-up that is typically conducted on an annual basis. It involves visiting your healthcare provider to check your vitals, screen for health conditions , and develop a healthcare plan for your needs.

The aim of a wellness visit is to promote health and prevent disease and disability.

This article explains why annual wellness visits are important, what you can expect during the process, and how to prepare for it.

These are some reasons why wellness visits are important.

Prevent Diseases

Most healthcare visits are categorized under diagnostic care; when you have a health problem, you visit a healthcare provider who assesses your symptoms, diagnoses your condition, and prescribes a treatment plan.

A wellness visit on the other hand is a preventative healthcare measure. The aim of preventative healthcare is to help you maintain good health and prevent health problems before they develop. The goal is to help you live a longer, healthier life.

Wellness visits assess your lifestyle, evaluate health risks, and screen for health conditions, in order to prevent health problems or catch them in the early stages. Instead of waiting to see a healthcare provider once you have a health problem, the idea is to be proactive about your health and work with your healthcare provider to prevent health problems.

People tend to think that it’s fine to skip their annual wellness visit if they’re feeling healthy. However, a 2021 study notes that wellness visits can play a role in catching chronic health conditions early, as well as helping people control for risk factors that could cause them to develop health issues down the line.

Reduce Medical Costs

Wellness visits can help prevent disease and disability, which in turn can help reduce medical costs. According to a 2016 study, a focus on preventive healthcare can significantly reduce medical costs and improve the quality of healthcare services.

What to Expect During a Wellness Visit

A wellness visit may be performed by a healthcare provider such as a doctor, nurse practitioner, clinical nurse specialist, physician assistant, or other qualified health professional.

These are some of the steps a wellness visit may involve:

  • Family history: Your healthcare provider may ask you detailed questions about your family’s medical history, to determine whether you are at an increased risk for certain health conditions that may be passed on genetically .
  • Medical history: You may also be asked questions about your personal medical history. It can include information about any current or previous diseases, allergies, illnesses, surgeries, accidents, medications, vaccinations, and hospitalizations, as well as the results of any medical tests and examinations.
  • Measurements: Your healthcare provider may measure your height, weight, heart rate, blood pressure, and other vital signs. Doing this regularly can help you establish a baseline as well as track any changes in your health.
  • Cognitive assessment: Your healthcare provider may assess your ability to think, remember, learn, and concentrate, in order to screen for conditions such as Alzhemer’s disease and dementia.
  • Mental health assessment: Your healthcare provider may also assess your mental health and state of mind, to help screen for conditions such as depression and other mood disorders.
  • Physical assessment: Your healthcare provider may perform a physical examination to check your reflexes. They may also perform a neurological exam, a head and neck exam, an abdominal exam, or a lung exam.
  • Functional assessment: Your healthcare provider may assess your hearing, your vision, your ability to perform day-to-day tasks, your risk of falling, and the safety of your home environment.
  • Lifestyle factors: Your healthcare provider may ask you questions about your nutrition, fitness, daily habits, work, stress levels, and consumption of substances such as tobacco, nicotine, alcohol, and drugs.
  • Health risk assessment: Based on this information, your healthcare provider will evaluate your health, and determine whether you are at an increased risk for any health conditions.
  • Health advice: Your healthcare provider may advise you on steps you can take to improve your health, control risk factors, and prevent disease and disability. This may include nutrition counseling, an exercise plan, flu shot and vaccination recommendations, and fall prevention strategies, among other things.
  • Screenings: Your healthcare provider may recommend that you get screened for certain health conditions such as depression , cholesterol, blood pressure, diabetes, cancer, heart disease, or liver conditions. This may involve blood work, imaging scans, or other screening tests. 
  • Medication review: Your healthcare provider may review your medication and adjust it, if required. This can include prescription medication, over-the-counter medication, vitamins, supplements, and herbal or traditional medication.
  • Referrals and resources: If required, your healthcare provider will provide a referral to other healthcare specialists. They can also provide other resources that may be helpful, such as counseling services or support groups , for instance.
  • Medical providers: Your healthcare provider will work with you to create or update a list of your current medical providers and equipment suppliers. This list can be helpful in case of an emergency.
  • Healthcare plan: Your healthcare provider will work with you to create a healthcare plan that is tailored to your needs. The plan will serve as a checklist that will list any screenings or preventive measures you need to take over the next five to 10 years.

The screenings, assessments, and healthcare plan can vary depending on factors such as your age, gender, lifestyle, and risk factors.

How to Prepare for a Wellness Visit

These are some steps that can help you prepare for a wellness visit:

  • Fill out any required questionnaires: Your healthcare provider may ask you to fill out a questionnaire before your visit. The questionnaire may include some of the factors listed above. Make sure you do it before your visit, so that you can make the most of your time with your healthcare provider.
  • Carry your medications: If possible, try to carry your medications with you to show them to your healthcare provider.
  • Take your medical documents along: It can be helpful to carry your prescriptions, immunization records, as well as the results of any medical tests or screenings you have had, to help give your healthcare provider a more accurate picture of your health status.
  • Ask someone to go with you: You may want to take a trusted friend or family member along with you for the wellness visit. They can assist you if required, take notes for you, ask questions, and help you remember your healthcare provider’s instructions.
  • Note down questions and concerns: A wellness visit is a good opportunity to ask your healthcare provider any questions you have about your health and tell them about any health problems or concerns you have. Making a list and carrying it with you to the visit can help ensure that you don’t miss anything.
  • Check your insurance plan: Most insurance plans cover wellness visits; however, what is covered as part of the wellness visit can vary depending on the plan. It can be helpful to know what preventative services and wellness visits your plan offers. It’s important to check that your healthcare provider takes your insurance and to inform them that you’ll be coming for a wellness visit when you schedule your appointment.

A Word From Verywell

A wellness visit can help you evaluate your health status, understand your risk for specific health conditions, and give you the information and resources you need to improve your health.

After you go for a wellness visit, it’s important that you start implementing your healthcare provider’s advice, take any follow-up appointments necessary, and take steps to improve your health.

U.S. Department of Health and Human Services. Get your wellness visit every year .

University Hospitals. What you need to know about wellness visits .

Liss DT, Uchida T, Wilkes CL, Radakrishnan A, Linder JA. General health checks in adult primary care: a review . JAMA . 2021;325(22):2294-2306. doi:10.1001/jama.2021.6524

Musich S, Wang S, Hawkins K, Klemes A. The impact of personalized preventive care on health care quality, utilization, and expenditures . Popul Health Manag . 2016;19(6):389-397. doi:10.1089/pop.2015.0171

Alzheimer’s Association. Annual wellness visit .

University of Michigan Health. Your yearly wellness visit .

By Sanjana Gupta Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.

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What Does a Medicare Wellness Visit Include?

Routine medical care is important when you’re sick or suffering from an ailment, but what about when you’re feeling fine? The truth is, scheduling an annual doctor’s visit to assess your health, often referred to as a wellness visit, is just as important to do when you’re feeling fine as it is when you’re feeling under the weather. These visits provide your physician the chance to discuss any healthcare concerns you may have, and they also give you the opportunity to ask questions about any medications or supplements you’re taking or about changes to your diet or exercise routine.

The Difference Between a Physical and a Wellness Visit

For many people, the terms “physical” and wellness visit” are used interchangeably, but they are actually quite different. During a physical, your doctor carries out a physical exam of your major systems, takes measurements, documents any changes and reviews concerns. During a wellness visit, there is typically no examination that takes place other than a general inspection of the body. A wellness visit is more like checking in with your doctor while a physical is more like an in-depth examination to assess body systems and functions. During a wellness visit, you may bring up a medical concern which prompts a physical exam, and during a physical, you may discuss wellness concerns, but the two are billed as separate types of visits.

Fortunately for Medicare recipients, an annual wellness visit is included with Part B coverage. During a wellness visit under Medicare, patients will have the chance to discuss any changes to existing conditions that have previously been documented, and the physician will review medical history to ensure that the patient is still in need of any prescribed medications. A doctor may also provide the patient with a preventive health plan designed to encourage healthy lifestyle choices. This plan may detail dietary changes or weight loss exercises, smoking or alcohol cessation information, a list of support groups or therapeutic care providers and more.

While wellness visits usually do not include any type of treatment in the doctor’s office unless an emergency occurs, patients are often directed to make a follow-up appointment for further screening if the wellness visit brings to light concerns that need to be addressed in detail. Keep in mind that this follow-up visit will not be covered as a wellness visit under Medicare and will be billed as a regular outpatient visit.

Additionally, a cognitive assessment is typically performed during the wellness visit, but this is usually done simply by conversing in the office. Finally, patients will fill out a wellness questionnaire while waiting to see the doctor, and the answers will be assessed to ensure that the doctor is able to address any symptoms that are deemed problematic that may not have been expressed directly by the patient.

Medicare Coverage Beyond Wellness Visits

If further medical treatment is required subsequent to a wellness visit, the good news is that Medicare provides a range of coverage options in the forms of inpatient, outpatient and prescription drug benefits. Medicare Part A covers things like inpatient hospitalization and skilled nursing care, and Medicare Part B provides coverage for outpatient care when it comes to doctor’s visits and treatments at clinics or testing at a lab. Medicare Part D is the prescription drug benefit and covers most medications that can be purchased at a retail pharmacy to be administered at home.

If you’re unsure as to your benefits or you’re considering Medicare in the future and would like to know more about your options, contact your current plan and/or research your options to find the Medicare coverage that will meet your needs.

Related articles:

Retiring under the age of 65? Understanding Your Medicare Benefits (Opens in a new browser tab)

Do Medicare Advantage Plans Cover Wellness Exams? (Opens in a new browser tab)

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Your Annual Wellness Visit: What to Expect

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Your annual preventive health exam (aka well visit or annual physical) is scheduled with your primary care physician to catch potential health issues early, before they become serious, and to help you focus on wellness and a healthy lifestyle while identifying important screening tests, vaccinations and other necessary testing.    

Most insurance plans cover your annual wellness exam—no copay required. However, says Dr. Adam Stracher , Chief Medical Officer , Director of the Primary Care Division and Associate Dean at Weill Cornell Medicine, you may find the actual components of a wellness visit a bit confusing .

Read on for answers to your FAQs—and learn what to expect when you visit your doctor’s office, in times of sickness and in health. 

What is included in a wellness visit?  

Your annual wellness visit includes the following:

  • A review of your medical and surgical history  
  • Screenings  
  • Blood tests  
  • Immunizations  
  • A physical exam  
  • Counseling to prevent future health problems    

How should I prepare for my visit?  

“ You can check in via Connect   up to 5 days before your visit to make sure we have your most up-to-date information , including your medications, medical history and insurance. You will be able to update these, along with your preferred pharmacy . And you can also review and update your responses to your health questionnaire ,” Dr. Stracher says.    

Please fast for at least 4 hours prior to your visit. You may drink water or black coffee, and take your maintenance medications.  

On the day of your appointment, please arrive on time and bring your insurance card and ID.  

What if I need to ask my doctor about a specific medical issue?  

Specific issues, whether raised by you or identified by your physician during the visit, are considered part of a follow-up or “sick” visit, he explains. “These aspects of your visit will be billed to your insurance, and you may be responsible for copayments, coinsurance or deductible payments, based on the terms of your policy. If you would like to address non-routine concerns during your wellness visit,” he adds, “let us know about these issues when you schedule your appointment. Depending on their complexity, we may need to deal with them at a later time."   

What does a follow-up or “sick” visit include?  

  • Treatment of a chronic condition such as diabetes, asthma or high blood pressure  
  • Any new problems or complaints  
  • Your need for new medications or tests  
  • Referrals to a specialist  
  • Additional treatment options  

What is a Medicare annual wellness visit and what does it include?  

The Medicare annual wellness visit, covered by Medicare, allows your health-care provider to conduct a health risk assessment and propose screenings and prevention strategies. As well, your provider will make sure all your immunizations, cancer screenings and other screenings are discussed and scheduled.  

Your Medicare wellness visit does not include a detailed physical exam or management of chronic or new medical problems. Your physician may be able to perform a complete physical and address new or existing medical issues during your Medicare annual wellness visit, but you could incur additional charges.  

What to expect during your Medicare a nnual w ellness v isit  

At your Medicare annual wellness visit, y our health care provider will :  

  • Review your blood pressure, heart rate, height, weight and body mass index (BMI).  
  • Review your current health problems, as well as your medical, surgical, family and social histories.  
  • Review your current medications.  
  • Conduct a health risk assessment.  
  • Provide nutrition counseling.  
  • Discuss an exercise plan to fit your lifestyle.  
  • Discuss smoking cessation and arrange for counseling, if needed.  
  • Discuss fall prevention.  
  • Discuss advance care planning.  
  • Discuss preventive screenings recommended by evidence-based practice guidelines that are indicated for you based upon your age, risk factors and family history

How t o p repare for your Medicare wellness visit  

Bring these items to your visit:  

  • Immunization records  
  • A list of current prescribed medicines, supplements and over-the-counter medications  
  • A list of your patient care team—any specialists you see for various types of care  
  • Be prepared to review your family medical history.  

Can I combine a Medicare or non-Medicare wellness visit with a physical exam?  

Combining a wellness visit with a physical or follow-up office visit will save you time by eliminating an extra appointment, but doing so may affect your costs. Additional concerns beyond a wellness visit may be billed to your insurance, which can result in unplanned out-of-pocket costs to you. For these reasons, Weill Cornell Medicine Primary Care recommends that you schedule your annual wellness visit and any follow-up or sick office visits separately.  

What are the most important points I need to keep in mind?  

  • Review your insurance plan’s summary of benefits before your appointment to understand what your insurance company will or will not cover.  
  • When scheduling a wellness visit, clearly state that you would like to make an appointment for your annual wellness or preventive care exam. That will help the practice prepare for your visit and bill your insurance company appropriately.  
  • When you speak with your doctor or other practitioner, let them know you are there for a wellness exam. Or, if you need to discuss a specific concern that may require treatment, make sure to bring their attention to any non-routine concerns at the start of your appointment.  

You can schedule your annual wellness or follow-up office visit with a provider in Primary Care  .

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What is the annual Medicare wellness visit?

The Medicare wellness visit is an annual visit with your primary care provider to create a personalized plan to help prevent disease and disability, based on your health and risk factors.

This free Medicare wellness visit is covered once every 12 months. You become eligible after you have been enrolled in Part B for a year or longer.

What is covered in the annual wellness visit?

The wellness visit is different from an annual physical exam where a doctor conducts a lot of tests. This exam focuses more on reviewing your medical history and risk factors and creating a prevention plan.

You’ll usually fill out a questionnaire, called a health risk assessment, as part of the visit. It can help you and your provider develop a personalized plan to stay healthy. Your provider may do the following during your wellness exam:

  • Review your medical history and your family’s medical history
  • Review your current providers and prescriptions
  • Record your vital information, including your height, weight and blood pressure
  • Provide personalized health advice
  • Review potential health risks and treatment options
  • Create a screening checklist for recommended preventive services
  • Discuss advance care planning, such as who you want to be able to make medical care decisions on your behalf if you’re unable to do so yourself.
  • Perform a cognitive assessment to look for signs of dementia, including Alzheimer’s disease. If your provider thinks you may have cognitive impairment, Medicare covers a separate visit to review your cognitive function.
  • Review potential risk factors for opioid problems if you have a current prescription for opioids.

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How does this differ from a Welcome to Medicare visit?

You are entitled to one free Welcome to Medicare visit any time during the first 12 months after you enroll in Medicare Part B. That checkup is an opportunity for your doctor to assess your health and provide a plan of future care. It serves as a baseline for monitoring your health during the annual wellness visits in subsequent years.

You do not need the Welcome to Medicare visit to qualify for later annual wellness visits. However, Medicare won’t pay for a wellness visit during the first 12 months you have Part B.

Will I face extra charges for the Medicare wellness visit?

You’ll have no deductible or copayments for your annual Medicare wellness visits if you’re enrolled in original Medicare and your provider accepts assignment, meaning he or she accepts the Medicare-approved amount as full compensation.

If you’re enrolled in a Medicare Advantage plan that has a provider network, such as an HMO or PPO, you may need to go to a doctor in the plan’s provider network to get the annual wellness visit without deductibles, copayments or coinsurance.

Keep in mind

If your health care provider performs additional tests or provides additional services during the visit that aren’t covered as part of the annual wellness benefit, you may have to pay your deductible and copayments for the additional expenses. ​

Updated July 14, 2022

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Doctor Visits

Get Your Medicare Wellness Visit Every Year

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Take Action

If you have Medicare, be sure to schedule a yearly wellness visit with your doctor or nurse. A yearly wellness visit is a great way to help you stay healthy.

What happens during a yearly wellness visit?

First, the doctor or nurse will ask you to fill out a questionnaire called a health risk assessment. Answering these questions will help you get the most from your yearly wellness visit.

During your visit, the doctor or nurse will:

  • Go over your health risk assessment with you
  • Measure your height and weight and check your blood pressure
  • Ask about your health history and conditions that run in your family 
  • Ask about other doctors you see and any medicines you take
  • Give advice to help you prevent disease, improve your health, and stay well
  • Look for any changes in your ability to think, learn, or remember
  • Ask about any risk factors for substance use disorder and talk with you about treatment options, if needed

If you take opioids to treat pain, the doctor or nurse may talk with you about your risk factors for opioid use disorder, review your treatment plan, and tell you about non-opioid treatment options. They may also refer you to a specialist. 

Finally, the doctor or nurse may give you a short, written plan to take home. This plan will include any screening tests and other preventive services that you’ll need in the next several years. Preventive services are health care services that keep you from getting sick. 

Learn more about yearly wellness visits .

Plan Your Visit

When can i go for a yearly wellness visit.

You can start getting Medicare wellness visits after you’ve had Medicare Part B for at least 12 months. Keep in mind you’ll need to wait 12 months in between Medicare wellness visits.

Do I need to have a “Welcome to Medicare” visit first?

You don’t need to have a “Welcome to Medicare” preventive visit before getting a yearly wellness visit.

If you choose to get the “Welcome to Medicare” visit during the first 12 months you have Medicare Part B, you’ll have to wait 12 months before you can get your first yearly wellness visit. 

Learn more about the “Welcome to Medicare” visit .

What about cost?

With Medicare Part B, you can get a wellness visit once a year at no cost to you. Check to make sure the doctor or nurse accepts Medicare when you schedule your appointment.

If you get any tests or services that aren’t included in the yearly wellness visit (like an extra blood test), you may have to pay some of those costs.

Who Can Get Medicare?

Medicare is a federal health insurance program. You may be able to get Medicare if you:

  • Are age 65 or older
  • Are under age 65 and have a disability
  • Have amyotrophic lateral sclerosis (ALS), also called Lou Gehrig's disease
  • Have permanent kidney failure (called end-stage renal disease)

You must be living in the United States legally for at least 5 years to qualify for Medicare.  Answer these questions to find out when you can sign up for Medicare .

Make an Appointment

Take these steps to help you get the most out of your Medicare yearly wellness visit.

Schedule your Medicare yearly wellness visit.

Call your doctor’s office and ask to schedule your Medicare yearly wellness visit. Make sure it’s been at least 12 months since your last wellness visit.

If you're looking for a new doctor,  check out these tips on choosing a doctor you can trust .  

To find a doctor who accepts Medicare:

  • Search for a doctor on the Medicare website
  • Call 1-800-MEDICARE (1-800-633-4227)
  • If you use a TTY, call Medicare at 1-877-486-2048

Gather important information.

Take any medical records or information you have to the appointment. Make sure you have important information like:

  • The name and phone number of a friend or relative to call if there’s an emergency
  • Dates and results of checkups and screening tests
  • A list of vaccines (shots) you’ve gotten and the dates you got them
  • Medicines you take (including over-the-counter medicines and vitamins), how much you take, and why you take them
  • Phone numbers and addresses of other places you go to for health care, including your pharmacy

Make a list of any important changes in your life or health.

Your doctor or nurse will want to know about any big changes since your last visit. For example, write down things like:

  • Losing your job
  • A death in the family
  • A serious illness or injury
  • A change in your living situation

Know your family health history.

Your family's health history is an important part of your personal health record.  Use this family health history tool  to keep track of conditions that run in your family. Take this information to your yearly wellness visit.

Ask Questions

Make a list of questions you want to ask the doctor..

This visit is a great time to ask the doctor or nurse any questions about:

  • A health condition
  • Changes in sleeping or eating habits
  • Pain or discomfort
  • Prescription medicines, over-the-counter medicines, or supplements

Some important questions include:

  • Do I need to get any vaccines to protect my health?
  • How can I get more physical activity?
  • Am I at a healthy weight?
  • Do I need to make any changes to my eating habits?

Use this question builder tool  to make a list of things to ask your doctor or nurse.

It can be helpful to write down the answers so you remember them later. You may also want to take a friend or relative with you for support — they can take notes, too.

What to Expect

Know what to expect at your visit..

The doctor or nurse will ask you questions about your health and safety, like:

  • Do you have stairs in your home?
  • What do you do to stay active?
  • Have you lost interest in doing things you usually enjoy?
  • Do you have a hard time hearing people on the phone?
  • What medicines, vitamins, or supplements do you take regularly?

The doctor or nurse will also do things like:

  • Measure your height and weight
  • Check your blood pressure
  • Ask about your medical and family history

Make a wellness plan with your doctor.

During the yearly wellness visit, the doctor or nurse may give you a short, written plan — like a checklist — to take home with you. This written plan will include a list of preventive services that you’ll need over the next 5 to 10 years.

Your plan may include:

  • Getting important screenings for cancer or other diseases
  • Making healthy changes, like getting more physical activity

Follow up after your visit.

During your yearly wellness visit, the doctor or nurse may recommend that you see a specialist or get certain tests. Try to schedule these follow-up appointments before you leave your wellness visit.

If that’s not possible, put a reminder note on your calendar to schedule your follow-up appointments.

Add any new health information to your personal health documents.

Make your next wellness visit easier by updating your medical information in the personal health documents you keep at home. Write down any vaccines you got and the results of any screening tests.

Medicare offers an online tool called  MyMedicare  to help you track your personal health information and Medicare claims. If you have your Medicare number, you can  sign up for your MyMedicare account now .

Healthy Habits

Take care of yourself all year long..

After your visit, follow the plan you made with your doctor or nurse to stay healthy. Your plan may include:

  • Getting important screenings
  • Getting vaccines for older adults
  • Keeping your heart healthy
  • Preventing type 2 diabetes
  • Lowering your risk of falling

Your plan could also include:

  • Getting active
  • Eating healthy
  • Quitting smoking
  • Watching your weight

Content last updated February 9, 2023

Reviewer Information

This information on Medicare wellness visits was adapted from materials from the Centers for Medicare and Medicaid Services

Reviewed by: Rachel Katonak Centers for Medicare and Medicaid Services Division of Policy and Evidence Review Coverage and Analysis Group

November 2022

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Description:  Learn about the annual wellness visit, the initial preventive physical examination, and the differences between them and a routine physical.

Medicare Wellness Visits

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"Welcome to Medicare" preventive visit

Medicare Part B (Medical Insurance) covers one “Welcome to Medicare” preventive visit within the first 12 months you have Part B. This "Welcome to Medicare" visit isn't a physical exam.

Your costs in Original Medicare

You pay nothing for the visit if your doctor or other health care provider accepts assignment . The Part B deductible doesn’t apply. 

However, you may have to pay coinsurance , and the Part B deductible may apply if your doctor or other health care provider performs additional tests or services during the same visit that Medicare doesn't cover under this preventive benefit. If Medicare doesn't cover the additional tests or services (like a routine physical exam), you may have to pay the full amount.

Frequency of services

Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and if, or how much, Medicare will pay for them.

During this visit, your doctor or other health care provider will:

  • Review your medical and social history related to your health.
  • Give you information about preventive services, including certain screenings, shots or vaccines (like flu, pneumococcal, and other recommended immunizations).
  • Take height, weight, and blood pressure measurements.
  • Give you referrals for other care as needed.
  • Calculate your body mass index (BMI).
  • Give you a simple vision test.
  • Review your potential risk for depression.
  • Offer to talk with you about creating  advance directives.
  • A written plan (like a checklist) letting you know what screenings, shots, and other preventive services you need.  Get details about coverage for screenings, shots, and other preventive services.

Things to know

When you make your appointment, let your doctor’s office know you would like to schedule your “Welcome to Medicare” preventive visit. Bring the following to your appointment:

  • Medical records, including immunization records.
  • Family health history.
  • A list of any prescription drugs, over-the-counter drugs, vitamins, and supplements that you currently take, how often you take them, and why.

Related resources

  • Medicare & You: women's health (video)
  • Yearly "Wellness" visits

Is my test, item, or service covered?

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In the exam room, the distinction between one type of visit and another isn't always clear. It's important to know when — and how — you can bill for both .

BETSY NICOLETTI, MS, CPC, AND VINITA MAGOON, DO, JD, MBA, MPH, CMQ

Fam Pract Manag. 2022;29(1):15-20

Author disclosures: no relevant financial relationships.

wellness visit physical

In family medicine, it's common for a medical problem to crop up during a routine preventive visit, or for a preventive service to crop up during a problem-oriented visit. For example, let's say you're finishing up a Medicare annual wellness visit when the patient lifts his shirt and says, “Oh yeah, I'd also like you to look at this rash,” which results in a prescription. Or, at a follow-up visit for a patient's chronic condition, you notice he is overdue for a flu shot and colorectal screening, so you perform a preventive visit too.

From a coding perspective, there is a bright line between a preventive medicine visit and a problem-oriented visit. One is for promoting health and wellness, and the other is for addressing an acute or chronic medical problem. But in the exam room, the distinction isn't always clear. The question for family physicians is this: When does the work in the exam room warrant billing for two distinct services?

The answer lies in knowing the requirements for various preventive medicine and Medicare wellness visits, knowing when you've done enough beyond those requirements to also bill for a separate E/M service, and knowing how to document and code it all. The good news is the 2021 E/M coding changes made it easier than it used to be.

When physicians and other clinicians address a medical problem during a preventive or wellness visit, they can often bill for both services.

Knowing the core components of preventive or wellness visits can help physicians recognize when they have done enough work beyond those requirements to bill for a separate evaluation and management service.

Because preventive and wellness visits come with no cost sharing, it's best practice to explain to patients that a separate service performed during the same visit may result in a charge to them.

PREVENTIVE MEDICINE VISITS

Preventive medicine visits (CPT codes 99381-99397) are for patients covered by commercial insurance, Medicaid plans, and some Medicare Advantage plans. Patients value these visits because they are not subject to co-pays and deductibles. After age two, one preventive visit is covered annually.

According to CPT, preventive medicine visits are “comprehensive preventive medicine evaluation and management services of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures.”

Codes 99381-99387 are for new patients and 99391-99397 are for established patients. Both are further broken down by age group. The extent of the exam, the content of the counseling and anticipatory guidance, and the recommended screenings and immunizations vary depending on the patient's age and gender. “Comprehensive” in the CPT definition is not synonymous with the comprehensive exam required in other E/M services. This is a common misconception among physicians and patients alike.

CPT states that if a new or existing problem is assessed and managed at the time of the preventive visit, the physician should also bill a problem-oriented visit (an office visit) on the day of the preventive care. But insignificant problems that do not require extra work should not be billed as office visits. If a patient comes in for a preventive visit and the clinician also looks at a rash or notices the patient's blood pressure is elevated, these observations alone are not enough to bill a problem-oriented E/M visit. There must be some medical decision making (MDM) that occurs, such as prescribing a topical treatment for the rash or choosing not to prescribe a medication for the high blood pressure and instead suggesting the patient change his diet.

Once you've documented your MDM, you can bill an E/M visit using codes 99202-99215 with the preventive medicine visit code. Make sure to add modifier 25 to the E/M code to signal to the payer that two distinct visits were done on the same day.

For more details on when to bill both visits, how to level the E/M portion, and what to include in your documentation, see “ One visit or two? ”

ONE VISIT OR TWO?

Medicare wellness visits.

Original (traditional) Medicare does not cover CPT codes 99381-99397, because Medicare has its own wellness visits with their own “G” codes and requirements. As mentioned, some Medicare Advantage plans do cover the preventive medicine CPT codes in addition to Medicare wellness visits. However, a Medicare wellness visit and a preventive visit should not be billed on the same date of service. Medicare developed the Initial Preventive Physical Examination (IPPE, also known as the “Welcome to Medicare” visit) (G0402) and initial and subsequent annual wellness visits (G0438 and G0439) to encourage Medicare patients to receive screenings and preventive care, and to work with their physicians to develop a personalized prevention plan. 1 The requirements are slightly different for the three codes, but in general they require collecting or updating medical, family, and social history; screening for depression; evaluating the patient's ability to perform activities of daily living; assessing the patient's safety at home; recording vital signs; asking about opioid and substance use; and providing guidance about preventive services and a personalized prevention plan (for more details, see the table in “ Medicare 101: Navigating the Rules for Coverage and Benefits in Clinical Practice ”). Similar to CPT's preventive medicine visits, Medicare wellness visits do not require a full head-to-toe physical exam.

The assessment and management of acute or chronic problems are not components of the IPPE or annual wellness visits. When that service is medically necessary during a Medicare wellness visit, the physician can also bill for a problem-oriented E/M office visit on the same day, again using the appropriate CPT code (99202-99215) with modifier 25.

SELECTING THE LEVEL OF SERVICE FOR THE E/M CODE

Hopefully you're now familiar with the E/M coding rules that changed in 2021. 2 Performing a problem-oriented E/M service on the same date as a wellness visit adds a layer of complexity when it comes to choosing the level of service for the E/M code. But, as mentioned, the new rules actually make it easier than it was before.

When selecting a code (99202-99215) using the new E/M guidelines for office and outpatient services, physicians may use either total time on the date of the visit or MDM. History and exam are no longer necessary to select the level of service (though they should still be documented to provide the best care). This makes it easier to select a level of service for the problem-oriented visit when it's combined with a wellness or preventive visit because there are fewer overlapping components when coding based on MDM. The E/M service is your assessment and management of an acute or chronic condition, which is not required in either CPT preventive services or Medicare wellness visits.

It's trickier to code the E/M service based on time because you must make sure to only count the time spent managing the problems, not the time spent on the preventive or wellness service. The February 2021 CPT Assistant newsletter was particularly clear on this, stating “if time is used for selection of a level of the office/outpatient E/M code, the time spent on the preventive service cannot be counted toward the time of the work of the problem assessment because time spent performing a service cannot be counted twice. The code for the problem-assessment portion of the encounter will likely be selected based on MDM.” 3 It might make sense to consider MDM-based coding as the best practice when combining E/M visits with wellness visits.

A problem-oriented visit includes the history of the problem and any symptoms or complaints related to it. It may or may not include a physical exam or data review (e.g., notes reviewed, tests ordered, tests reviewed, or independent historian). It includes the evaluation and management of a problem or condition. When these components are documented in addition to the preventive visit, add a problem-oriented visit code. For more on which components are required for which visits, see “ How to credit combined visits .”

Let's look at some examples of when it would be appropriate to bill for a problem-oriented E/M code (CPT 99202-99215) along with a preventive or wellness visit.

Patient 1: A 70-year-old male, established patient with a history of diabetes and hyperlipidemia comes in for a Medicare annual wellness visit. All required components of the wellness visit are completed. The patient then asks for a refill of his diabetes medication. The physician asks the patient if he is taking his medication as prescribed and following the diet recommendations discussed during the last visit. The physician also performs a focused physical exam, discusses medication management for diabetes and hyperlipidemia, and orders maintenance labs. The physician documents her significant review of the patient's problems, bills for the annual wellness visit with code G0439, and adds a 99214 E/M code because she addressed two stable chronic illnesses and performed prescription drug management. She adds modifier 25 to the E/M code.

Patient 2: A 32-year-old female, new patient comes in for a preventive medicine visit required by her employer. The physician completes all requirements for the preventive visit. During the history portion, the patient tells the physician that she has been having some knee pain exacerbated by running. The physician obtains additional history about the pain, examines her knee, tells her to reduce her running until the pain subsides, and gives her a handout on knee exercises. He also recommends she try a knee brace and follow up if the pain does not lessen with rest. The physician documents the extra work done to address the knee issue, then bills code 99385 for an initial preventive medicine visit for a patient age 18–39, along with E/M code 99203 because he addressed one acute, uncomplicated injury. He adds modifier 25 to the E/M code.

Patient 3: A 49-year-old female, established patient comes in for her annual preventive visit. The physician completes all requirements for the preventive visit. The patient then mentions she has been excessively tired recently and has been having trouble sleeping. The physician obtains a detailed history of the problems, does a thorough physical exam, and orders some labs (complete blood count and thyroid-stimulating hormone). The physician documents the extra work, then bills code 99396 for a periodic preventive medicine visit for a patient age 40–64 and E/M code 99213 for addressing two acute illnesses (fatigue and insomnia) and ordering two labs. The physician adds modifier 25 to the E/M code.

WORKFLOW TIPS

It's hard to plan for surprise problems that come up during a preventive or wellness visit. But your staff can help by asking patients up front if they have any other issues that need to be addressed. This step should occur when staff are scheduling or confirming patient visits, allowing you to block off more time if necessary.

Scheduling staff should also be aware that Medicare wellness visits have strict rules about how often they can be billed. They must be separated by at least 12 months from the previous wellness visit. Having staff check eligibility for Medicare wellness visits using the HIPAA Eligibility Transaction System can help you avoid denials. 4 The timeframes for CPT preventive visits are more forgiving; they can be performed once every plan year (usually a calendar year, but some plans vary).

Patients who know their preventive/wellness visit will be covered with no deductible or co-pay may mistakenly assume all services provided during that visit, including E/M, will be no cost to them. It is best to educate patients on the costs associated with a problem-oriented office visit and let them know that performing one with a preventive or wellness visit will result in the same co-pay they would incur if the problem-oriented visit was on a different day. Most patients will accept this, because getting both visits in the same trip is more convenient for them. Posting flyers in the exam rooms or waiting room about the difference between preventive/wellness visits and problem-oriented visits, and the costs associated with each, can also prevent patient dissatisfaction.

Physicians could ask these patients to return for the problem-oriented visit on another day, but if time allows for providing both services at the current visit, it is only fair and reasonable to do so. Knowing the rules for combined visits, and the convenience they offer patients, should give physicians the confidence to bill fully for their services.

The ABCs of the Initial Preventive Physical Examination. Medicare Learning Network. Accessed Nov. 15, 2021. https://www.mvphealthcare.com/wp-content/uploads/download-manager-files/CMS-ABC-Initial-Preventive-Physical-Examination-ICN006904-01-2015.pdf

Millette KW. Countdown to the E/M coding changes. Fam Pract Manag . 2020;27(5):29-36.

Evaluation and management (E/M) 2021; AMA CPT Assistant . 2021;2:7-8.

HIPAA Eligibility Transaction System (HETS). Centers for Medicare & Medicaid Services. Updated Oct. 25, 2021. Accessed Nov. 15, 2021. https://www.cms.gov/research-statistics-data-and-systems/cms-information-technology/hetshelp

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Annual Wellness Physical Exam

Get your annual wellness-physical exam in meridian, idaho.

Treasure Valley Family Medicine follows the United States Preventative Service Task Force for guidelines regarding appropriate screening tests for all age groups. You can enter your age, gender and other basic information into the USPSTF Preventive Services website to see what the current recommendations are for your age. Please go to the following link: USPSTF Preventive Services Recommendations

Medicare also has specific guidelines that are expected to be discussed at Medicare Annual Wellness Examinations. Additional information can be found at: Medicare Annual Wellness Physical

Consistent with current recommendations, traditional “head-to-toe” physical exams on healthy adults are no longer recommended; they provide minimal value. In contrast, a targeted check-up addressing your specific health conditions and screening recommendations is very useful.

Bottom line, we want to “choose wisely” which tests you receive to maximize the benefits to you. Learn More About Choosing Wisely

** IMPORTANT REMINDER **

If you have a physical/wellness exam, please know this does not include any medical issues unique to you (high blood pressure, asthma, arthritis, high cholesterol, diabetes, etc.).

Under insurance company billing rules, physical/wellness exams and treatment of your specific medical problems are two different services, even if both are performed during a single visit.

Doctors are required to document and bill each separately.

What this means to you is that when you receive the Explanation of Benefits (EOB) from your insurance company, you may see two office visits listed. One will be zero copay (annual wellness physical), but the other will be billed as a routine office visit. Any amount that is shown as not covered under the general physical/wellness exam is considered by insurance company policy as patient responsibility; the deductible or coinsurance is billed to the patient/insured.

Our clinic finds these insurance policies to be misleading and confusing. They violate patient expectations for a “zero copay” annual physical visit that should include review of all health conditions and medication adjustments. We apologize for any frustration they generate, and will continue to provide accurate information, in compliance with insurance payer policies.

What Our Patients Are Saying:

…very friendly and attentive and made some useful suggestions during our wellness visit. We would have no hesitation to recommend TVFM.

Anonymous Patient

Dr. Crownover does a great job! He really takes the time to work with me and explain why he recommends a specific treatment or therapy. I feel that he and the staff at TVFP are an indispensable part of the overall team helping me manage and make significant improvements to my overall health and wellness. 

Great visit. Dr. Crownover took the necessary time with me for my wellness check. I never felt rushed and I think we had a good conversation about my health/ diet etc. Blood draw was done very well- I didn’t even feel it. Thanks.

Grateful that he is always thorough and this time was the only one around me to notice I was so sick I had become Jaundice and needed and important surgery. Family friends and coworkers simply thought I was tan. It could have cost me my life. Thank you Dr. Crownover for always providing such excellent care!

Everyone was kind, did a great job and my wife stated that when the labs were drawn that she never felt anything including the needle going in. That is excellent.

I found Dr. Crownover by location a few years back when I was rear ended in my vehicle. He was near my work and I needed to be seen sooner rather than later. His office was able to get me in. Ever since my first interaction with him and his staff….I felt compelled to approach him about becoming my family physician and the physician to monitor my meds, well checks and my ongoing care.

You were very concerned about my wellness

Dr. Crownover is very attentive to your personal health and wellness. He took his time to listen and explain in detail everything pertaining to the visit. I trust him with my health and would highly recommend him to others seeking medical attention.

Thanks again for making us feel like we’re important.

I feel that I’ve received very good care as well as the other people in my household. I feel very welcome by your staff feel that you care about us as individuals instead of just a patient. Thank you

All the services are very quickly addressed. Everyone is very nice and friendly.

Great experience from front desk staff, medical assistants and my doctor. Very clean and well-appointed examination rooms.

…saw my 4-year-old daughter at this appointment and it was the best doctor visit she’s ever had. She was great with her, spent time with us, was in no rush and was patient with my daughter. I didn’t feel we were unimportant or like she had someplace else to be even though it was just a wellness check. I appreciate that so much. My daughter has been asking to go back to the doctor to see the staff ever since.

Very professional and very thorough in examination. Explains everything to me.

New Patients

Call us today at: (208) 914-6868, -or send us an email-.

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Existing Patients

Please use our patient portal:, or call: (208) 895-0050, our meridian doctor, clinic & staff are highly rated on the following sites:.

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'No one else seemed to care': Patients reach out to Public Investigator about medical billing issues with Ascension, insurers

In November 2022, Thiensville resident Kate Nelson saw her doctor at Ascension Columbia St. Mary's in Grafton for an annual wellness visit .

A benefit of her Medicare plan , these visits are covered as long as additional tests and services aren't performed. None were, according to Nelson and her husband, who also attended.

A year later, the 71-year-old unexpectedly received a $648 bill.

Her husband, Steve Nelson, said he didn’t expect it would take more than one phone call to clear up the miscommunication. But each time he called, he couldn’t make any progress.

“The person that you almost always get is someone who has neither the knowledge to know how to answer my question, nor the ability to change it,” he said. 

Every month, they would get the same bill in the mail. Each time, Steve Nelson would call Ascension to say the charges were incorrect.

“The last person I talked to at Ascension said, ‘Well, for now, ignore this bill. Just ignore it while we process it,’” Steve Nelson said. 

Ascension never explained what they needed to "process," he said. In March, after disputing the charge for five months, the Nelsons reached out to Public Investigator.

Reporters sent the bill to Ascension on April 1. Four days later, Steve Nelson got a call that the bill was dropped.

"Ascension called Katie this a.m.," Steve Nelson wrote in an email to Public Investigator. "One of the charges was coded wrong, the other was submitted by someone 'not credentialed.' Bottom line, the bill has been cancelled! Whew! Kudos to you ladies, and many, many thanks!"

The Nelsons' story is among dozens of emails and calls Public Investigator received from Ascension patients after publishing a story about a Milwaukee couple who spent months fighting a medical bill for a checkup . Most involved Medicare users or older adults, and all cited difficulties communicating with Ascension customer service regarding billing errors.

All patients who contacted Public Investigator experienced these issues months before Ascension fell victim to a ransomware attack this May.

In a statement, an Ascension Wisconsin spokesperson said Ascension is " committed to ensuring that all patients receive fair and accurate billing" and is continually improving its customer service. That includes ongoing customer service training and expanding access to customer service through "a variety of digital platforms."

The spokesperson also acknowledged the complexity of medical billing, caused by widely varying reimbursement and coverage policies across all kinds of insurance companies. Ascension resolves 85% of all billing inquiries during the first phone call, the spokesperson said.

Ascension declined to comment on specific patients' cases, even though the patients were willing to give the health care system permission to discuss their situations. However, Ascension agreed to investigate the cases included in this story.

Many older adults feel they're not listened to or taken seriously due to their age, said Emily Petersen, policy and advocacy manager for older adult services at the Milwaukee County Health department . She said navigating incorrect or confusing medical bills is a common problem.

"That is why this type of advocacy is so important and why federal law requires advocacy for older adults," Petersen said, "because these types of things are very prevalent."

Medicare can cause confusion between annual wellness visits and annual physical exams

In January, Milwaukee resident Carol Hioki, 68, visited the Ascension Columbia St. Mary's Family Health Center on North Avenue for her annual wellness visit, which Medicare had covered for her in the past.

But to her surprise, Hioki received two notices in the mail that said she owed $187.61 for her appointment.

Her routine visit turned into two months of calls to customer service.

When Hioki called the clinic, she said employees directed her to the billing departments of Ascension and Froedtert & the Medical College of Wisconsin, which employs physicians at the clinic.

Froedtert reviewed the charges and, two weeks later, called to insist they were valid, according to Hioki.

Meanwhile, Ascension's billing department said it would review the charges and get back to Hioki within 10 business days, but Hioki said they never called back.

Hioki contacted Public Investigator in February.

In early March, about two weeks after Public Investigator contacted Ascension about her bill, Hioki got a call from Ascension that all charges had been dropped.

But her relief was short-lived. Later that month, Hioki said Ascension left her a voicemail that said based on "additional information," her visit was not considered an annual Medicare wellness visit. Her bill was reinstated.

The Ascension representative said Hioki would receive a letter with more details, but Hioki said she hasn't received it yet.

When Public Investigator asked the Medical College of Wisconsin why Hioki's bill was reinstated, a spokesperson said Hioki's procedure was considered a routine physical exam, not a Medicare annual wellness visit.

"The physician's documentation specifically included a note that the patient would need to schedule the (annual wellness visit) for a future date," said the Medical College of Wisconsin spokesperson. "As such, it was determined that the billing is accurate for this date of service."

In a statement, Ascension acknowledged that routine physical exams and Medicare annual wellness visits are often confused .

The annual wellness visit is covered by Medicare and is meant to focus on questions about one's wellbeing and lifestyle and does not include a physical exam. On the other hand, routine physicals are hands-on examinations meant to address questions or symptoms, and must be paid for out of pocket.

"Medicare Annual Wellness Visits and physical exams are best scheduled for the same day, with the wellness visit occurring first," the Ascension spokesperson said. "We encourage patients to clarify whether they’re scheduling a Medicare Wellness Visit or a physical exam when making their appointments."

However, when Public Investigator relayed this to Hioki, she said her doctor didn't tell her this information.

"I went in for a scheduled Medicare annual wellness visit, and that is what should have been performed," Hioki said. "I was not notified what was being performed that took priority over my reason for the appointment and did not give consent to whatever was going on."

Ascension sends Cudahy woman's physical therapy bill to collections agency

Linda Figueroa was walking through the Cudahy Middle School library in June 2022 when she tripped and fell on her shoulder, fracturing her collarbone. The injury landed the 71-year-old student services specialist in an arm sling for six months.

Instead of surgery, Figueroa opted for physical therapy at Ascension Hospital in Oak Creek.

According to her employer, the School District of Cudahy, the physical therapy sessions would be covered by United Heartland, a worker's compensation organization based in Michigan.

But in February of last year, a $304 bill landed in Figueroa's mailbox.

For weeks, she said she called Ascension to clarify that her charges should be sent to United Heartland. Each time, she said she spoke to a different representative, which meant she had to re-explain her case.

Figueroa continued to receive bills for the next ten months, until December 2023, when Ascension notified her the bill would be sent to a collection agency if not paid immediately.

When Figueroa talked to United Heartland that month, a claims manager there said the organization had already sent Ascension her documentation and was waiting on Ascension to send back an invoice. Until the organization got the invoice, it couldn't pay the bill, United Heartland told Figueroa.

By January, Figueroa's bill had been sent to Frost-Arnett Company, a Kentucky-based collections agency.

The following month, United Heartland told Figueroa it could reimburse her "100%" if she paid the collections bill out of pocket. Instead, she contacted Public Investigator for help.

"Yes, I could pay it, but I don't know how many people have said, 'Oh, I will pay it,' and never get the money back," Figueroa said.

United Heartland did not respond to a phone call and email requesting comment in February and March.

Ascension declined to comment on Figueroa's case without a patient privacy release form. But just days after Figueroa submitted the form to allow Ascension to discuss her case with reporters, she logged into her account to find that her bill was $0.

At the time, Figueroa said she didn't know why. She had not heard any update from Ascension or United Heartland.

On April 18, a few weeks after her balance was zeroed out, Figueroa received an email from United Heartland stating it paid the bill.

Figueroa said she was relieved to have Public Investigator's help in resolving the situation.

"No one else seemed to care or help for well over a year," she said. "The lack of help and customer service with Ascension billing and United Heartland has been eye-opening. I do hope that if anyone is unfortunate to go through this experience, your article will help."

Tetanus vaccine appointment results in unexpected bill

Last April, at his doctor's recommendation, 78-year-old Robert Wezek received a tetanus and diphtheria booster vaccine at Ascension Wisconsin Health Center on Rawson Avenue in Franklin.

The appointment went as expected. However, since then, Wezek has received four notices stating that he owes $124 for the visit.

His insurance company, UnitedHealthcare, was billed for three different medical codes related to the vaccination and its administration. UnitedHealthcare agreed to pay only for the administration of the vaccine, but not for other costs.

When Wezek called Ascension's billing department to understand his charges, he was repeatedly left frustrated and without answers. Wezek said he called dozens of times without success.

"It's just ridiculous," he said.

In December, about eight months since his appointment, Ascension told Wezek that his previous request to review his bill was denied due to lack of information and asked Wezek for more details. The company told him it would review the bill again in seven to 10 days.

Regardless, in a letter reviewed by Public Investigator, Ascension said his bill would be sent to collections.

After Public Investigator contacted Wezek's insurance company and Ascension in April, representatives from the two companies called him to tell him they were reviewing his case.

"No one has returned information to me about whether they dropped the case or not. But it's been four months now," Wezek said. "As long as I don't hear anything from Ascension or hear anything from the collection agency, I'm satisfied."

Health insurance for older adults is confusing, but there are people who can help

As the policy and advocacy manager for older adult services at the Milwaukee County Department of Health and Human Services , Petersen helps older adults navigate programs like Medicare.

Petersen said Medicare causes confusion not only for patients, but also for medical providers and their staff. People have to keep up with the differences between a wide range of Medicare Advantage plans, and Medicare "does not make it easy to understand what is going on," she said.

"Every single year, they change what the codes are, what you're billing for, what is eligible to be billed for under Medicare, and it's very confusing," said Petersen.

The lengthy process to dispute a medical bill error doesn't help, she added.

"Whether that's the hospital or through the Medicare appeals process, that process takes a very, very long time," Petersen said.

Navigating issues related to medical bills and Medicare require a lot of self-advocacy, Petersen said, so no one should ever feel ashamed or afraid of asking for help.

Milwaukee County residents who are 60 and older can use the program SeniorLAW , which provides free legal assistance related to Medicare, Medicaid, social security insurance programs, and more. Petersen also recommends using the State Health Insurance Assistance Program (SHIP) website to locate nearby Medicare counseling resources.

Older adults can also go to the Wisconsin Department of Health Services website to find an elder benefits specialist near them. Not only will a specialist investigate an incorrect medical bill charge, but they can also help people sign up for Medicare and choose the right plan for them, she said.

Petersen said the most important thing people can do is hold on to all documentation from their health insurance and medical provider. Clients can sign a release to allow elder benefits specialists to help them collect these documents on their behalf.

"I know people get scared that they might have missed something," Petersen said, "and it can be confusing to know: What is an actual document from your doctor, and what is just junk mail?"

Editor's note, June 4, 2024: A previous version of this article incorrectly stated that the Ascension Wisconsin Health Center - Rawson Avenue location is closing. Only one group of physicians, in Suite 220, is retiring.

Quinn Clark is a Public Investigator reporter. She can be emailed at  [email protected] . Tamia Fowlkes is a Public Investigator reporter for the Milwaukee Journal Sentinel. Contact her at  [email protected] .

About Public Investigator

Government corruption. Corporate wrongdoing. Consumer complaints. Medical scams.  Public Investigator  is a new initiative of the Milwaukee Journal Sentinel and its sister newsrooms across Wisconsin. Our team wants to hear your tips, chase the leads and uncover the truth. We'll investigate anywhere in Wisconsin. Send your tips to [email protected] or call 414-319-9061. You can also submit tips at  jsonline.com/tips .

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Martin Wellness Center

Exercise is a key component of a healthy lifestyle..

Exercise in our welcoming health and fitness center.  The Martin Wellness Center is home to many of Gritman’s exercise programs for all ages and abilities. At the Martin Wellness Center, our certified, highly trained staff can help you meet your wellness goals. We offer a variety of classes, both on the floor and in our therapy pool, geared toward helping you achieve optimum health and wellness. The center also offers exercise equipment for your use.

All services offered at the wellness center are self-pay. Your insurance will not be billed.

wellness visit physical

Registration

To use the Martin Wellness Center, you must return the following:

  • A completed application
  • An informed consent and release of liability form
  • A signed waiver from your physician

The waiver form can be sent from the Martin Wellness Center staff to your physician’s office at your request. Ask our staff for assistance. We are happy to help.

Exercise Programs

The Ron & Janie Nirk Therapy Pool is ideal for non-weight-bearing exercise, remaining at a consistent 90 degrees Fahrenheit. Patrons can use the pool during independent swim times during our hours of operation. The center also offers a therapy spa for a post-workout soak.

Medical Clearance from your PCP is required to use the facility. Martin Wellness Center’s pool is a therapy pool and therefore not safe for recreational use by children. All children must be referred by a physician and accompanied by an adult for therapeutic purposes only. Diapers designed for pool use are required for those who need them.

510 W. Palouse River Dr. Moscow, ID 83843

Hours Monday-Friday 6:15 a.m. to 6:30 p.m.

Contact Phone: 208-883-9605 Fax: 208-883-9617

Available Classes

  • Movement Matters Class: Circuit class aimed to develop strength, balance and mobility. Use exercise machines and balance equipment, as well as guided workouts.
  • PE for PD: Class designed for Parkinson’s Patients, please call to find out more.
  • PiYo: Instructor lead gentle Pilates- and Yoga-based exercise class. Works on strength, mobility, and balance.
  • Personal Training: Contact the Wellness Center to schedule a time that works with our Personal Trainer.

Your safety is important to us. All Martin Wellness Center instructors are certified in BLS/CPR, and the majority have degrees in exercise science or kinesiology.

Gym Schedule and Rates

Private Events

The Wellness Center’s meeting space is available for community members to rent. Contact us if you are interested in renting space for an event. We are proud to be an integral part of our community’s health and look forward to seeing you here!

Patient Testimonials

Gritman Medical Center: Martin Wellness Center

Donate a Membership

  • Donate Monthly Gym Membership ($40)
  • Donate Monthly Pool Membership 3x/week ($65)
  • Donate Any Amount

Peak Physical Therapy

Since 1999, we’ve helped thousands of people regain their independence and restore their hope for healing. By partnering with our expert physical therapists, you can feel empowered, capable, and excited to face the future without pain holding you back.

If you’re seeking a compassionate, hands-on therapy team, you’ll find one at Peak PT.

Our shared standards:

A commitment to thorough treatment that provides lasting relief

Cutting-edge, personalized care that prioritizes your unique experience and recovery

Devotion to patient education so you can be equipped to stay healthy long-term

Photo of Donald Morgan

Donald Morgan PTA

Proudly hailing from the Lone Star State, I began my journey in the realm of physical therapy after earning my A.A.S. from Montgomery Junior College. With a decade of experience as a PTA in Texas, I’ve traversed various settings, honing my skills and deepening my passion for patient care. Seeking to broaden my horizons, I ventured to Idaho to pursue graduate studies at the esteemed University of Idaho, ultimately earning my M.Ed. When I’m not immersed in the world of rehabilitation, you’ll find me relishing precious moments with my cherished wife and son, savoring the joys of family life.

Photo of Derek Rodigo

Derek Rodigo PT, DPT

Meet Derek Rodigo PT, DPT

Derek Rodigo PT, DPT brings a wealth of experience and a passion for helping others to our team at [Physical Therapy Company Name]. Originally hailing from Carmichael, CA, Derek recently made the move to Idaho from Austin, TX, bringing with him a diverse background in physical therapy and a dedication to providing top-notch care to his patients. Derek holds a Doctor of Physical Therapy degree from the University of St. Augustine for Health Sciences, along with a bachelor’s degree in Kinesiology Pre-PT Track from Westmont College in Santa Barbara, CA. His commitment to ongoing learning and professional development ensures that he stays abreast of the latest advancements in the field of physical therapy, enabling him to deliver evidence-based care tailored to each individual’s needs.

Outside of the clinic, Derek has a wide range of interests. He’s an avid golfer and sports fan, with a particular passion for baseball, football, and of course, golf. You’ll often find him outdoors, whether he’s hitting the links with friends or spending quality time with his wife and son in nature.

What Derek loves most about being a physical therapist is the opportunity to work with people from all walks of life. He thrives on the challenge of helping his patients achieve their goals, whether that’s overcoming an injury, improving their mobility, or enhancing their overall quality of life. With a compassionate approach and a commitment to empowering his patients, Derek is dedicated to helping each individual reach their best version of themselves.

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Kenneth Gardner PT, DPT

Growing up surrounded by the vibrant landscapes of the Western states, including traversing the sunny landscapes of Southern California, I’ve been shaped by the rugged beauty and adventurous spirit of the region. Armed with an undergraduate degree from The Master’s College and a graduate degree from California State University Northridge, I’ve dedicated myself to the field of rehabilitation with fervor and determination.

Beyond the confines of work, my heart finds solace in the company of my beloved wife and two wonderful children. An avid enthusiast of outdoor adventures, I seize every opportunity to immerse myself in nature’s embrace, whether it’s casting a line while fishing, pitching a tent for camping, or exploring scenic trails through hiking and backpacking. I’m a true sports aficionado, relishing the thrill of competition in practically any athletic endeavor.

Yet, amidst these pursuits, my greatest joy lies in witnessing the transformation of individuals as they reclaim levels of function they once deemed unattainable. It’s this privilege of guiding and supporting others on their journey to rehabilitation that fuels my passion and purpose each day.

Photo of J. Kyle Hadley

J. Kyle Hadley PT, DPT

Born in the bustling city of Houston, Texas, my earliest memories are painted with the vibrant hues of Las Vegas, where I spent my elementary school years. Transitioning to the coastal beauty of San Diego after fifth grade, I found solace and joy in the sandy shores despite never mastering the art of surfing.

Upon completing high school, my journey led me to the picturesque landscapes of Idaho, where I’ve rooted myself ever since, with brief stints in the southeast and now the southwest. Educationally, I earned my B.S. from BYU-Idaho, forever carrying a fervent allegiance to BYU sports. Continuing my academic pursuits, I obtained my DPT from Idaho State University, relishing the enriching experience nestled in the heart of Pocatello.

Beyond the realms of academia and professional life, I find immense fulfillment in family and outdoor adventures. As a devoted husband and father of three, I revel in coaching my children in sports like flag football and soccer, fostering their growth and passion for the game. An avid mountain biker, I find serenity and thrill exploring the trails of the Owyhees and the Eagle Bike Park. Additionally, I indulge in the leisurely pursuit of disc golf, with Mallard Park ranking as my favorite course, closely followed by Eagle Island State Park and Ann Morrison.

Photo of Kristine Vaz

Kristine Vaz PT, DPT

Kristine has always been drawn to the medical field but was not sure exactly where she fit in. Kristine loves physical therapy because it blends her passions for helping others, science, and solving puzzles. She values helping people get back to what they love and rebuilding their confidence.

A Tri-Cities native, Kristine obtained her undergraduate degree in Biology from Gonzaga University (Go Zags!), where she also minored in Spanish. She continued her schooling by earning her doctorate in Physical Therapy from Creighton University (Go Jays!) in May 2020. With the start of the pandemic, Kristine was drawn back to her roots in the Pacific Northwest and returned there to serve her community.

Kristine has worked in several settings, but especially enjoys outpatient orthopedics. She has a special interest in the orthopedic aspect of prenatal and postpartum rehabilitation, general balance training, manual therapy, and working with the geriatric population. She likes to stay up to date on new research in the field of physical therapy. She loves finding new ways to challenge her patients.

For fun, Kristine enjoys hiking, traveling, trying different foodie spots in town, and spending time with her family.

Photo of Shelby Holland

Shelby Holland PTA

Shelby graduated from North Idaho College with a PTA degree in May 2022. Shelby and her husband have a beautiful baby boy and moved to Lewiston, Idaho in April 2020. She loves being outdoors, enjoys nature with her family and going on new adventures. Shelby loves anything Disney and dreams of taking her son to Disneyland to enjoy the happiest place on Earth! She loves working with all patients but has a special passion for pregnant and postpartum women, and helping them return to doing what they love after giving birth to a miracle.

Photo of Katie Brown

Katie Brown PTA

Katie Brown hails from the picturesque landscapes of northern Montana, where her love for the outdoors blossomed during idyllic summers by the lake. After earning her PTA degree from North Idaho College, she embarked on a fulfilling journey in outpatient physical therapy. It was in Lewiston where she crossed paths with her husband, Micah, and together they’ve built their home. Alongside their two lively black labs, they now cherish the joy of parenthood with their daughter, Renlie. Katie’s passion lies in fostering meaningful connections with her patients, embracing the privilege of learning their unique stories along the way.

Photo of Cam Likes

Cam Likes PTA

Cam Likes earned his Bachelor of Science in Exercise Physiology from Brigham Young University. Prior to that, he earned his Associate of Applied Science from the College of Western Idaho.

Sports and fitness have always been a big part of Cam’s life. He loves to continue to compete whenever he can and is always up for a challenge. Cam was a former coach with Eagle High School’s baseball program and has worked as a personal trainer for several years. Cam’s favorite part of working in physical therapy is the idea that he can direct a part in helping people improve their lives. He loves the challenge of finding new and different ways to help people recover and enhance their therapy experience.

In his free time, Cam enjoys spending time outdoors, riding his motorcycle, and spending time with his family.

Photo of Brett Jordan

Brett Jordan PT, DPT, Cert-DN

Brett was born and raised in Phoenix, Arizona. She grew up playing softball, basketball, and various other sports and eventually found her way into the Sports Medicine club where her passion for health and wellness started. Following high school, Brett attended The University of Arizona in Tucson, Arizona, where she received a Bachelor of Science degree in Nutritional Sciences, as well as a Bachelor of Health Science degree in Physiology. During her time at UofA, Brett discovered Physical Therapy as a career avenue and fell in the love. After undergraduate school, Brett decided to pursue graduate school and went on to receive her Doctorate of Physical Therapy degree at Northern Arizona University in Flagstaff, Arizona. After graduating, she eventually found her way up to Montana to work and explore until moving to Boise, Idaho in 2022. Brett really prides herself on building strong relationships with her patients to help them achieve their goals and return to their highest level of function by creating individual and holistic care programs. Outside of the clinic, Brett enjoys hiking, backpacking, camping, traveling, snowboarding, and pretty much anything that involves adventure. She also loves to hang out with friends, cook and bake, do puzzles, and spend time with her two cats.

Background: Doctorate of Physical Therapy – Northern Arizona University BSHS in Physiology – The University of Arizona BS in Nutritional Sciences – The University of Arizona Minor in Biochemistry – The University of Arizona

Training: -American Academy of Manipulative Therapy – Dry Needling Certified -AHA-BLS Certified

Photo of Joshua Golden

Joshua Golden PT, DPT

Joshua Golden, DPT is from Winchester, VA. He got his Undergraduate degree from Idaho State University and his Doctor of Physical Therapy from Idaho State University as well.

His favorite part about being a PT is helping people get back to doing what they love.

When not working, Josh likes to play disc golf, play board/card games, and chill with the family.

Photo of Johnny Powell

Johnny Powell PTA

Johnny Powell is a 5th generation Idahoan who was raised on a dairy farm in Meridian. He is a retired Master Gunner who served 20 years in the United States Army where he served combat tours in both Iraq and Afghanistan. After retiring from the Army he went back to school and got his degree as a Physical Therapist Assistant and was Licensed in April 2017. He is a father of four and has been married for 23 years to his dream girl. He enjoys hunting, camping, riding his motorcycle, running and weightlifting, 80s hairbands and remembering the good old days when he had a mullet. He is learning how to play the bagpipes and volunteers as a Boy Scout Leader.

Photo of Josh Tilley

Josh Tilley DPT, ATC

Josh received his Doctor of Physical Therapy degree in 2008 and has been a licensed physical therapist since that time. He has also been a certified Athletic Trainer since 2003. He has experience in various physical therapy settings, with most of that experience being in the outpatient setting. He also has experience with a wide variety of sports including professional, collegiate, Olympian, and high school athletics.

Photo of Susan Gonsky

Susan Gonsky PT

Susan is from Michigan and went to the University of Florida (go Gators!)

When not at work, Susan likes to garden, take care of her 2 dogs, and loves doing crafts (knit, crochet, quilt).

Her favorite part of being a PT is interacting with the patients, learning their stories, seeing them gain confidence in their ability to return to normal activities without pain.

Photo of Mike Lemmon

Mike Lemmon PT, DPT

Michael was born and raised in upstate New York. He is a graduate of Utica College who received his Doctorate in Physical Therapy in 2015. Brought to Idaho by his passion for hunting and shooting sports, Michael loves helping restore people to their maximal function.

Photo of Jaymes Sajczuk

Jaymes Sajczuk PT, DPT

Jaymes Sajczuk PT, DPT is a graduate of the Doctor of Physical Therapy program at Creighton University in 2020. Originally from Arvada, Colorado he met his wife at Colorado State University in Fort Collins, Colorado. They moved to Lewiston, Idaho from Colorado for the balance of the atmosphere of the town as well as the opportunities to be outdoors while escaping the big cities of Denver and Colorado Springs. They both love to be outdoors with their son and dog and are very active in their local church. Since moving to Lewiston, Jaymes has begun hunting and fishing, and is very passionate about the outdoors. Jaymes loves treating orthopedic cases but treating individuals with limb loss was what got him originally into physical therapy.

Photo of Britney Running

Britney Running PTA

My name is Britney Running and I was born and raised in Lake Stevens, WA. I moved to Pullman, WA in August 2009 to attend WSU. I graduated with my Bachelors of Science in Kinesiology in December 2013.

My now fiancé and I moved back to Seattle, WA for a year and decided that the city wasn’t for us, so we moved back to Moscow, ID in 2015. In May 2017 we bought out first house in Uniontown, WA. I started PTA school at LCSC August 2017 and graduated in May 2019. I started my job with Institute of Physical Therapy in April 2019 in September 2019.

I am getting married to Mathew Hansen. Mathew is a Paver Operator for a company in Pullman, WA. We have two bulldogs; Tinnley our French bulldog and Cecil our English bulldog. We all love engaging in outdoor activities; like hiking, riding our side by side and boating. We love going to our property at Conklin Marina during the summertime and going to the lake. I am excited to start my career in Physical Therapy and help the community. I personally love being able to interact, educate and help people get back to their normal level of function so they can endure what they love.

wellness visit physical

Interested in Joining the Team?

We’re always looking to expand our talented team.

Ready to reclaim your life? Peak PT is here to help.

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2024 Summer Wellness Challenge

2024 Summer Wellness Challenge

Join DC Government Employee Summer Wellness Challenge: Summer Self-Care Series

DC Government is excited to partner with SoHookd, an innovative wellness provider, to offer On-Demand Wellness Webinars you can watch at your convenience. In addition, we will be rewarding you for watching the Wellness Webinars by raffling off gift cards to spend at the SoHookd Wellness Marketplace .  

Join us for a Summer of Self-Care! These webinars provide tools to nurture your mind, body, and soul, with mindfulness techniques, stress-relief exercises, and tips for creating a peaceful living space. Make this summer your healthiest and happiest yet!

See the flyer for more details.

Earn rewards while enhancing your well-being!

Watch each On-Demand Webinar to be entered into a lucky draw. 25 lucky winners will each receive a $50 SoHookd Wellness Marketplace Gift Card . You can earn up to $300 worth of gift cards if you watch all 6 webinars, PLUS qualify for the Grand Prize of an additional $100 gift card that you can only use in the SoHookd Wellness Marketplace. Please Note:  All rewards are gift cards for SoHookd Wellness Marketplace only , not cash equivalent.  Learn more about the rewards below.  

• Make sure to use your DC Gov work email when accessing the webinars to ensure reward eligibility. • Use the same email each time you watch a webinar to validate your identity for the grand prize drawing. • 2 Webinars are posted on the first of each month and are available to watch anytime throughout the month. • Winners will be chosen at the end of each month and will receive an email notification from our District Chief Wellness Officer, Megan Reilly ( [email protected] ).

Watch Webinars Button

For our Summer Wellness Series, we will be releasing 2 webinars each month, and you can watch them anytime over the course of the month. Winners will be chosen at the end of each month. Viewers selected for a reward are still eligible to win for other webinars viewed.

View the Webinar Overview  

Employees who watch the webinars will be entered into raffles to receive gift cards to the SoHookd Wellness Marketplace , which offers a variety of products you can choose from like healthy meal delivery, personal trainers, athletic apparel gift cards, wellness tech and more!

Check out the short video below to discover the various offerings at the SoHookd Wellness Marketplace.  

Marketplace Offerings Button

Q:   When does the challenge start?

A: The 2024 Summer Wellness Challenge runs from June 1, 2024, to August 31, 2024.

Q:   Who is eligible to participate?

A: All District of Columbia Government employees, regardless of title, position, and grade, are welcome to participate.

Q:   How can I access the webinars?

A: All webinars are hosted on the SoHookd webpage and are available On-Demand, allowing you to watch them at your convenience throughout the month.

Click on the link provided on our Summer Wellness Challenge site to access each webinar - 'Watch Webinars.' You will be prompted to enter an email address for access; be sure to use your work email to ensure reward eligibility (and be sure to use the same email each time). Watch the webinar in full for entry into the raffle. After watching the webinar, you can simply close out of the page or go back to view another webinar; please know that your participation has been captured!

Q:   I am having issues viewing the webinars (e.g. it stopped playing, I got kicked out, etc.), will my participation still be captured?

A: Yes! If you run into any issues while watching the webinar, pick up where you left off and your full participation will be captured. If you continue running into any issues, please feel free to contact  [email protected] .

Q:   Whom should I contact for questions about the challenge?

A: For any inquiries or assistance, please reach out to your agency wellness leader.

Q:   How will I be notified if I win?

A: If you are selected to receive a reward for participating in our wellness program, the gift card will be sent to your work email from our District Chief Wellness Officer, Megan Reilly ( [email protected] ). Please ensure to check your email for updates regularly.

Q: I can't find my SoHookd reward.

A: If you are unable to locate your gift card email, access the  SoHookd Marketplace here , select 'Access a SoHookd gift card' under 'Sign In' and enter your email address. If you still cannot locate it, please reach out to  [email protected] .

Q: I'm having issues placing an order or with an order I placed on the SoHookd Marketplace, who should I reach out to?

A: Contact SoHookd's support team ( [email protected] ) with any concerns regarding an order on their marketplace.

Learn, Earn, and Shine This Summer. Take the Wellness Challenge!

We hope that you will join us to focus on your wellness this year and good luck in earning those rewards!

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Emmys: ‘The Bear’ Surprises With One Writing Submission; Will ‘Abbott Elementary’ Finally Land With Directors? ‘Baby Reindeer’ Takes the Lead

The Bear -- Baby Reindeer -- Abbott Elementary

Variety  Awards Circuit  section is the home for all awards news and related content throughout the year, featuring the following: the official predictions for the upcoming Oscars,  Emmys , Grammys and Tony Awards ceremonies, curated by  Variety  senior awards editor Clayton Davis. The prediction pages reflect the current standings in the race and do not reflect personal preferences for any individual contender. As other formal (and informal) polls suggest, competitions are fluid and subject to change based on buzz and events. Predictions are updated every Thursday.

Visit the prediction pages for the respective ceremonies via the links below:

OSCARS  |  EMMYS  |  GRAMMYS  |  TONYS

2024 Emmy Predictions: Outstanding Directing/Writing (Drama, Comedy, Limited, TV Movie )

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Weekly Commentary (Updated: June 4, 2024): Surprising news has emerged from studios regarding submissions for the directing and writing categories for the Emmys, with nomination voting set to open on June 13.

In the comedy category, “The Bear” has only submitted the iconic episode “Fishes,” written by Christopher Storer and Joanna Calo, for outstanding writing in a comedy. Surprisingly, the impressive episode “Forks,” which follows Richie (Ebon Moss-Bachrach) as he’s trained at an upscale restaurant, won’t be up for consideration. “Fishes” by Storer and “Honeydew” by Ramy Youssef will be on the ballot for directing.

“Abbott Elementary” sees Emmy-winning writer Quinta Brunson attempting to reclaim her title with the season premiere episode “Career Day.” The show has yet to receive recognition for its directorial achievements, but there’s anticipation that Randall Einhorn might finally make the lineup after directing the finale, “Party.”

A surprise freshman series could also make an appearance in the race. Paramount’s “Colin From Accounts,” with writers and stars Patrick Brammall and Harriet Dyer, is a strong contender. Additionally, the final season of “Reservation Dogs” might earn a long-overdue farewell bid for creator Sterlin Harjo. The series finale episodes of “Young Sheldon” or “Curb Your Enthusiasm” could also find their way into the competition after garnering buzz the past few weeks.

In the drama series category, “Shogun” is expected to make a significant impact. Meanwhile, the limited series category is shaping up to be a three-horse race between “True Detective” and Netflix’s double entries of “Baby Reindeer” and “Ripley.”

Read : All Primetime Emmy predictions in every category on Variety’s  Awards Circuit .

Directing (Drama Series)

The Morning Show

And the Predicted Nominees Are

Directing (drama).

Ahsoka

Next in Line

Writing (drama series).

The Crown

Writing (Drama)

The Walking Dead: The Ones Who Live

Directing (Comedy Series)

Hacks Season 3

Directing (Comedy)

Only Murders in the Building

Writing (Comedy Series)

“Colin From Accounts” (Paramount+) -- "The Flash" by Patrick Brammall and Harriet Dyer

Writing (Comedy)

“Funeral” and “Memoir” – YOUNG SHELDON ends its seven-year run with a must-see two-episode series finale. Jim Parsons and Mayim Bialik reprise their roles as Sheldon Cooper and Amy Farrah Fowler in an unforgettable hour of television, on the series finale of YOUNG SHELDON, Thursday, May 16 (8:00-8:30 PM, ET/PT and 8:30-9:00 PM, ET/PT) on the CBS Television Network, and streaming on Paramount+ (live and on-demand for Paramount+ with SHOWTIME subscribers, or on-demand for Paramount+ Essential subscribers the day after the episode airs)*.  Pictured: Jim Parsons as Sheldon Cooper    Photo Credit: Bill Inoshita / 2024 Warner Bros. Entertainment Inc. All Rights Reserved.

Directing (Limited Series/TV Movie)

True Detective

Directing (Limited)

Apple TV+: Austin Butler in "Masters of the Air"

Writing (Limited Series/TV Movie)

(L-R): Matt Bomer as Hawkins "Hawk" Fuller, Jonathan Bailey as Tim, Allison Williams as Lucy, Jelani Alladin as Marcus and Noah J. Ricketts as Frankie in FELLOW TRAVELERS, Season 1. Photo Credit: Kurt Iswarienko/SHOWTIME.

Writing (Limited)

We Were the Lucky Ones -- “Rio” - Episode 108 -- Halina’s strength and hope are put to the test. Addy builds a new life in Rio. The end of the war triggers the Kurc family’s final search for answers. Addy (Logan Lerman) and Caroline (Nicole Brydon Bloom), shown. (Photo by: Vlad Cioplea/Hulu)

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How Do You Solve a Problem Like Paramount+?

More from our brands, lenny kravitz’s las vegas residency: where to get tickets to the ‘blue electric light’ shows.

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This New Ultra-Premium Reposado Mezcal Was Aged in Bourbon Barrels

Ncaa’s billion dollar settlement faces google book deal hurdles, the best loofahs and body scrubbers, according to dermatologists, rochelle aytes departs s.w.a.t as a series regular for cbs’ watson, verify it's you, please log in.

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US Treasury official visits Ukraine to discuss sanctions on Moscow and seizing Russian assets

United States Deputy Treasury Secretary Wally Adeyemo walks in the city center during an official visit to Kyiv, Ukraine, on Wednesday, May 29, 2024. (AP Photo/Evgeniy Maloletka)

United States Deputy Treasury Secretary Wally Adeyemo walks in the city center during an official visit to Kyiv, Ukraine, on Wednesday, May 29, 2024. (AP Photo/Evgeniy Maloletka)

United States Deputy Treasury Secretary Wally Adeyemo watches a photo exhibition of Ukrainian-US photographer Sasha Maslov at Naked-room gallery during his official visit to Kyiv, Ukraine, on Wednesday, May 29, 2024. (AP Photo/Evgeniy Maloletka)

United States Deputy Treasury Secretary Wally Adeyemo buys a jacket at the Riotdevision store during his official visit to Kyiv, Ukraine, on Wednesday, May 29, 2024. (AP Photo/Evgeniy Maloletka)

United States Deputy Treasury Secretary Wally Adeyemo walks in the city center during his official visit to Kyiv, Ukraine, on Wednesday, May 29, 2024. (AP Photo/Evgeniy Maloletka)

United States Deputy Treasury Secretary Wally Adeyemo looks at a jacket at Riotdevision store during his official visit to Kyiv, Ukraine, on Wednesday, May 29, 2024. (AP Photo/Evgeniy Maloletka)

United States Deputy Treasury Secretary Wally Adeyemo takes selfies with young activists during his official visit to Kyiv, Ukraine, on Wednesday, May 29, 2024. (AP Photo/Evgeniy Maloletka)

United States Deputy Treasury Secretary Wally Adeyemo tries on a jacket at Riotdevision store during his official visit to Kyiv, Ukraine, on Wednesday, May 29, 2024. (AP Photo/Evgeniy Maloletka)

United States Deputy Treasury Secretary Wally Adeyemo speaks to representatives of Riotdevision store during his official visit to Kyiv, Ukraine, on Wednesday, May 29, 2024. (AP Photo/Evgeniy Maloletka)

United States Deputy Treasury Secretary Wally Adeyemo visits the Riotdevision store during his official visit to Kyiv, Ukraine, on Wednesday, May 29, 2024. (AP Photo/Evgeniy Maloletka)

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WASHINGTON (AP) — A senior U.S. Treasury official has met with Ukrainian officials in Kyiv to discuss U.S. financial support, enforcing sanctions on Russia and using frozen Russian assets for Ukraine’s benefit in the war with Moscow.

The visit this week by Deputy Secretary Wally Adeyemo came as Russia gains territory after a lengthy delay in U.S. military aid left Ukraine at the mercy of Russia’s bigger army. Meantime, the outlook for Ukraine’s state finances is on shakier ground.

“Russia’s economy has become a wartime economy where every means of production and industry is now focused on building weapons to fight their war of choice and aggression here in Ukraine,” Adeyemo told reporters Wednesday in Ukraine’s capital. “And we need to do everything that we can to go after that.”

Adeyemo held talks with officials in Ukraine’s finance ministry and president’s office. At the Kyiv School of Economics, he spoke with faculty and civil society groups working on sanctions policy and ways to make the penalties against Russia more effective.

President Joe Biden signed legislation in April that allows Washington to seize the roughly $5 billion in Russian state assets located in the United States. But the majority of the $260 billion in frozen Russian assets are in Europe, and U.S. officials are hoping for a consensus from their European allies on how to spend that money.

FILE- This June 6, 2019, file photo shows the U.S. Treasury Department building at dusk in Washington. Brent Neiman, deputy undersecretary for international finance at the U.S. Treasury, said in a speech on Tuesday that Ukraine's wartime economy has proven resilient in the face of Russia's invasion and said U.S. and allies' budget assistance is designed to help the nation combat corruption and increase transparency. (AP Photo/Patrick Semansky, File)

U.S. Treasury Secretary Janet Yellen met in Italy last week with her counterparts from the Group of Seven nation to discuss how to squeeze money out of the frozen Russian assets to back Kyiv’s war effort.

She said loaning Ukraine $50 billion from the assets “has been mentioned as a possible number that could be achieved,” but that the specific approach was under discussion.

Adeyemo, meanwhile, took aim at China’s economic support of Russia through its sale of dual-use goods. U.S. officials have said China has surged sales to Russia of machine tools, microelectronics and other technology that Moscow is using to produce missiles, tanks, aircraft and other weaponry for use in the war.

China has said it is not providing Russia with arms or military assistance, although Beijing has maintained robust economic connections with Moscow, alongside India and other countries, amid sanctions from Washington and its allies.

“The only way that Russia is able to build the weapons they want is that they can get dual-use goods from China,” Adeyemo said. “Only through the support of the Chinese are Russia able to build these weapons at the scale they need to continue this war and to be able to fight this war of aggression and to be able to build the military industrial complex that they need going forward.”

U.S. officials are pressuring American companies to ensure their products do not end up in the hands of Russia’s military.

Daleep Singh, deputy U.S. national security adviser for international economics, said in a speech Tuesday at the Brookings Institute in Washington that he wanted “to issue an urgent call for corporate responsibility — a percentage of Russian battlefield weaponry with U.S. or allied branded components is unacceptably high. Put your creativity and resources to work. Know your customers and know their customers.”

Adeyemo said he will give speech Friday in Berlin on how the U.S. and its allies “can do more to make sure that goods from our countries are not being shipped through third countries and ending up in Russia as well.”

Since the beginning of Russia’s invasion of Ukraine in February 2022, the U.S. has sanctioned more than 4,000 people and businesses, including 80% of Russia’s banking sector by assets.

Kullab reported from Kyiv, Ukraine.

FATIMA HUSSEIN

IMAGES

  1. 3 Reasons to Offer Your Patients an Annual Wellness Visit

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  2. Annual Wellness Visit vs. Annual Physical: What's The Difference

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  3. Do You Get a Physical Therapy Wellness Visit?

    wellness visit physical

  4. How to Improve Physical Wellness

    wellness visit physical

  5. What Medicare Patients Should Know About the Annual Wellness Visit

    wellness visit physical

  6. Medicare Wellness Visit or Physical Exam? Knowing the Difference May

    wellness visit physical

VIDEO

  1. Physical Wellness Dr Mohit Gupta

  2. Physical Therapy Introduction

  3. Why wellness checkups and sports physicals are so important for children

  4. Introduction

  5. 5 years baby wellness visit

  6. 5 Daily Wellness Practices You Need to Start NOW for Spiritual, Mental, Emotional, & Physical Growth

COMMENTS

  1. What is the difference between a physical exam and a Medicare Wellness

    The difference between a physical exam and a Medicare Wellness Visit is basically the difference between your doctor focusing on what's wrong versus on what's right. Each is important, depending on the situation. When you're sick or in pain, you want to get better. A physical exam helps your doctor figure out what the problem is and what ...

  2. Annual wellness exam or physical? After age 65, you need both

    A wellness exam is free — and it can keep you healthy and safe — so I now consider it a worthwhile thing to do." What to expect during an annual physical. Toborg said that when a patient schedules their wellness exam, they can schedule their annual physical, too. Both last about 30 minutes. Patients are charged for the physical.

  3. Annual Physical Exam vs Annual Wellness Visit: Do I Need Both?

    Physical exams and wellness visits can seem different names for the same process, but there is a distinction. Wellness visits usually lack the core aspects of a thorough physical, opting instead just for basic vitals such as height, weight, and blood pressure. Plus, two appointments are treated differently by insurers.

  4. Annual Wellness Visit Coverage

    for longer than 12 months, you can get a yearly "Wellness" visit to develop or update your personalized plan to help prevent disease or disability, based on your current health and risk factors. The yearly "Wellness" visit isn't a physical exam. Your first yearly "Wellness" visit can't take place within 12 months of your Part B ...

  5. Annual Wellness Visit

    Annual Wellness Visit. The Annual Wellness Visit (AWV) is a yearly appointment with your primary care provider (PCP) to create or update a personalized prevention plan. This plan may help prevent illness based on your current health and risk factors. Keep in mind that the AWV is not a head-to-toe physical.

  6. MLN6775421

    Annual Wellness Visit (AWV) Visit to develop or update a personalized prevention plan and perform a health risk assessment. Covered once every 12 months. Patients pay nothing (if provider accepts assignment) Routine Physical Exam. Exam performed without relationship to treatment or diagnosis of a specific illness, symptom, complaint, or injury.

  7. Wellness Visit: What to Expect and How to Prepare

    How to Prepare. A wellness visit is a health check-up that is typically conducted on an annual basis. It involves visiting your healthcare provider to check your vitals, screen for health conditions, and develop a healthcare plan for your needs. The aim of a wellness visit is to promote health and prevent disease and disability.

  8. What Does a Medicare Wellness Visit Include?

    The Difference Between a Physical and a Wellness Visit. For many people, the terms "physical" and wellness visit" are used interchangeably, but they are actually quite different. During a physical, your doctor carries out a physical exam of your major systems, takes measurements, documents any changes and reviews concerns.

  9. What to Expect at Your Annual Wellness Visit

    Your annual wellness visit includes the following: A review of your medical and surgical history. Screenings - we generally follow screening recommendations of the USPSTF. Blood tests. Immunizations - we follow the vaccine schedules published by the CDC. A physical exam. Counseling to prevent future health problems.

  10. Your Annual Wellness Visit: What to Expect

    Combining a wellness visit with a physical or follow-up office visit will save you time by eliminating an extra appointment, but doing so may affect your costs. Additional concerns beyond a wellness visit may be billed to your insurance, which can result in unplanned out-of-pocket costs to you. For these reasons, Weill Cornell Medicine Primary ...

  11. Medicare Annual Wellness Visit

    Annual Wellness Visits are yearly appointments with your primary care provider. An AWV is not a routine physical and usually doesn't involve lab work or hands-on testing. Instead, it's more like a planning session to update a custom preventive care plan to meet your needs. Annual Wellness Visits are different from an Initial Preventive ...

  12. What Is An Annual Medicare Wellness Visit?

    The Medicare wellness visit is an annual visit with your primary care provider to create a personalized plan to help prevent disease and disability, based on your health and risk factors. This free Medicare wellness visit is covered once every 12 months. You become eligible after you have been enrolled in Part B for a year or longer.

  13. Get Your Medicare Wellness Visit Every Year

    First, the doctor or nurse will ask you to fill out a questionnaire called a health risk assessment. Answering these questions will help you get the most from your yearly wellness visit. During your visit, the doctor or nurse will: Go over your health risk assessment with you. Measure your height and weight and check your blood pressure.

  14. MLN6775421

    Format. ICN: MLN6775421. Description: Learn about the annual wellness visit, the initial preventive physical examination, and the differences between them and a routine physical. Medicare Wellness Visits.

  15. Preventive Visit Coverage

    During this visit, your doctor or other health care provider will: Review your medical and social history related to your health. Give you information about preventive services, including certain screenings, shots or vaccines (like flu, pneumococcal, and other recommended immunizations). Take height, weight, and blood pressure measurements.

  16. Combining a Wellness Visit With a Problem-Oriented Visit: a ...

    Patient's physical condition may have deteriorated since previous visits. ... Credit to the Medicare wellness visit (G0402, G0438, G0439) Credit to the problem-oriented E/M visit(99202-99215)

  17. Annual Wellness Physical Exam

    OR CALL: (208) 895-0050. See More Patient Testimonials. Most insurance companies now pay for an "annual physical" or wellness exam without copay. Contact us today to schedule yours: 208-895-0050.

  18. What To Expect at a Well-Woman Exam

    Dr. Elbin walks us through what you can expect during a well-woman exam. 1. Medical history. Your exam will likely start with reviewing your medical history, including your family history, to ...

  19. Ascension agrees to investigate 4 patients' medical billing complaints

    Medicare can cause confusion between annual wellness visits and annual physical exams. In January, Milwaukee resident Carol Hioki, 68, visited the Ascension Columbia St. Mary's Family Health ...

  20. Sports Medicine Clinic

    Call to schedule an appointment 208-882-0540. "We want to keep people active, healthy and exercising as much as possible and as long as possible," Dr. Christensen said. "You are going to get good, high-quality care at our Sports Medicine Clinic.". Dr. Jacob K. Christensen. Teen and adolescent wellness exams with sports physicals.

  21. Martin Wellness Center

    Hours. Monday-Friday 6:15 a.m. to 6:30 p.m. Contact. Phone: 208-883-9605. Fax: 208-883-9617. View Map and Directions. Available Classes. Movement Matters Class: Circuit class aimed to develop strength, balance and mobility. Use exercise machines and balance equipment, as well as guided workouts.

  22. Our Team

    Our Team. Since 1999, we've helped thousands of people regain their independence and restore their hope for healing. By partnering with our expert physical therapists, you can feel empowered, capable, and excited to face the future without pain holding you back. If you're seeking a compassionate, hands-on therapy team, you'll find one at ...

  23. 2024 Summer Wellness Challenge

    Earn rewards while enhancing your well-being! Watch each On-Demand Webinar to be entered into a lucky draw. 25 lucky winners will each receive a $50 SoHookd Wellness Marketplace Gift Card. You can earn up to $300 worth of gift cards if you watch all 6 webinars, PLUS qualify for the Grand Prize of an additional $100 gift card that you can only ...

  24. 2024 Emmys Director and Writing Predictions

    15. " Apples Never Fall " (Peacock) — "The Delaneys" by Melanie Marnich. Outstanding Writing for a Limited or Anthology Series or TV Movie. 2024 Emmys directing and writing predictions ...

  25. US Treasury official visits Ukraine to discuss sanctions on Moscow and

    She said loaning Ukraine $50 billion from the assets "has been mentioned as a possible number that could be achieved," but that the specific approach was under discussion.. Adeyemo, meanwhile, took aim at China's economic support of Russia through its sale of dual-use goods. U.S. officials have said China has surged sales to Russia of machine tools, microelectronics and other technology ...