What is an annual physical exam?
An annual physical ensures that you stay in good health. Unfortunately, not every exam is the same. The exam will likely include discussion about your current health, family history, past illnesses/surgeries, and/or chronic conditions. The doctor will likely check your vital signs, listen to your heart and lungs, check your ears/eyes/throat and conduct/recommend screenings and blood work specific to your age and gender.
Also known as: annual check-up, well-adult, routine preventive exam
How do I receive credit for my annual physical exam?
Your annual physical exam must be coded as an annual physical exam to receive credit. When you call to schedule your exam, be very specific with your doctor’s office. They will need to use the correct codes to ensure the appointment is billed as an annual physical.
How much does an annual physical exam cost?
Harris County employees and dependents covered by the Harris County medical plan (Cigna) can receive one annual physical exam per year covered at 100% – there is no copay. When you call to schedule your exam, be very specific with your doctor’s office. They will need to use the correct codes to ensure you are not charged.
I have a health question that isn’t considered part of the annual physical exam. Can I bring it up at my annual physical?
An annual physical exam only includes certain preventive health services. If you discuss something that isn’t considered part of the preventive exam, you may risk being billed for a regular office visit. Please do not hesitate to ask your provider upfront what the physical includes. You may need to schedule another appointment to discuss issue(s) not covered during the annual physical. Please ask your provider for further clarification.
What does NOT count as an annual physical exam?
Your doctor’s office uses different medical codes to bill the insurance for your visit. If you are managing a chronic condition, like diabetes or hypertension, you may see your doctor more than once a year but those visits are not annual physical exams. Sick visits are not annual physical exams either. These types of visits will not be coded as annual physical exams and therefore will not count toward the Healthy Actions Medical plan.