Dear Dr. Roach, I’m a 69-year-old woman in generally good health, despite some serious issues last year, like a stomach lining problem and a couple of surgeries. I also have asthma and had eosinophilic pneumonia a few years back.
At my 2023 check-up, my physician assistant spent the whole time discussing my medications without doing a physical exam. I was taken aback and decided to find a new doctor. Unfortunately, my experience was similar at my next appointment in 2024. We talked about my meds again, and then she left without a physical check.
Is this a new trend? I wonder if it’s because I have Medicare. I’ve heard that many doctors don’t take Medicare patients. It makes me feel vulnerable, and I’m worried about not having a reliable doctor if problems arise. What should I do? — F.D.
Answer: It sounds like there’s some confusion about what a regular check-up is versus an “Annual Wellness Visit” (AWV). These are two different types of appointments, especially for Medicare patients. A regular check-up allows your doctor to assess your health, while an AWV focuses more on preventive care without an in-depth physical exam.
During a regular check-up, your doctor should evaluate any health issues and might look at notes from specialists you’ve seen. On the other hand, the AWV is designed to discuss preventive care and overall wellness. That’s why you might feel like you’re not getting a proper assessment during these visits.
Many older adults feel surprised when they realize that an AWV isn’t a complete check-up. The AWV can be beneficial, especially for creating a health plan, but it doesn’t focus on managing specific health conditions. Some doctors can combine both types of visits, but they may require additional co-payments.
A key issue here seems to be communication. Your doctors should clarify what type of visit you have, ensuring you get the care you need. It’s essential for you to voice your concerns and ask for a regular check-up if that’s what you’re looking for.
According to recent surveys, about 40% of Medicare patients report dissatisfaction with their healthcare access. This highlights a significant concern among seniors about the availability of doctors accepting Medicare. If you continue facing challenges in finding a suitable physician, consider reaching out to local health networks or community resources that focus on Medicare patients. They can often guide you to doctors who are accepting new patients.
In summary, don’t hesitate to ask for a complete check-up when you visit a new doctor. Taking charge of your health is vital, especially as we age. Good luck!
Dr. Roach appreciates your questions. They help inform others facing similar situations. To connect, you can email ToYourGoodHealth@med.cornell.edu or mail to 628 Virginia Dr., Orlando, FL 32803.
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