Understanding Your Visit: Physical vs. Office Visit
What You Need to Know About Your Appointment Types and Costs
-
— A preventive health visit focusing on your overall well-being.
— Includes a targeted physical exam and health maintenance recommendations.
— Covers topics like:
• Diet & exercise guidance
• Age-appropriate immunizations
• Screenings (e.g., colonoscopy, mammogram, Pap smear, or prostate exam)
— Typically, no co-pay or co-insurance required.
-
— Addresses specific health concerns or ongoing medical issues.
— Examples include:
• Discussing symptoms or concerns
• Reviewing or adjusting medications
• Ordering labs, imaging, or performing procedures (e.g., EKG)
— Usually results in a co-pay or co-insurance responsibility.
-
If a physical and office visit are addressed during the same appointment (e.g., preventive care and a new health issue):
• Insurance may bill separately for both.
• This could result in out-of-pocket costs (co-pay or co-insurance).
• We prioritize maximizing your time with the provider! Our goal is to address all your needs in one visit when possible.
-
— Check with your insurance provider for details about your coverage.
— We’re here to help you understand and make the most of your visit.