Annual/Preventive Care vs. Problem Visits

Annual/Preventive Visit

Annual or preventive visits can also be called physicals, annual checkups, or well/wellness visits.

Annual/Preventive visits include:

  • Reviewing your medical history
  • Discussing factors that affect your health
  • Measuring your height, weight, and blood pressure
  • Setting a schedule for common tests like cancer screenings
  • Reviewing your medication list
  • Keeping your immunizations up to date
  • Planning for end-of-life care

Insurance Coverage

Yearly preventive visits are covered by many health insurance plans. You may have no out-of-pocket costs.


Problem Visit

A problem visit is to discuss a new health problem (like an illness, injury, or symptom) or chronic health problem. Examples include a concerning cough, new pain, or diabetes.

Problem visits include:

  • Discussing the health problem
  • Treating any ongoing health conditions like high blood pressure, diabetes, or high cholesterol

Insurance Coverage

Your health insurance will treat each problem visit as a single office visit with a charge. You may need to pay for all or some of the cost.


Combination Visit

Sometimes, you may discuss a specific health condition while at your preventive visit. Your physician or advanced practice provider can combine the visits so that you do not need to make two separate appointments.

Insurance Coverage

By law, UI Health must bill for your preventive visit and your problem visit separately. When this happens, you may need to pay for some of the cost. This depends on your insurance coverage.