Traditional MedicareCoverageHigh impact
Medicare Annual Wellness Visits will remain covered once per calendar year
Priority Health·Government Programs
We identified it
Jul 23, 2026
Summary
Priority Health has corrected a June policy error. Medicare Annual Wellness Visits coverage remains at once per calendar year (not once every 12 months as erroneously stated). Billing teams must revert to the original annual coverage frequency for Medicare beneficiaries and reference the corrected policy #064.
Action Required
Immediately: Billing team must revert any system changes made in response to the June erroneous update. Confirm that Medicare Annual Wellness Visit billing rules in the practice management system and encounter forms reflect once per calendar year coverage (not once per 12-month rolling period). Reference corrected Medicare Annual Wellness Visit billing policy #064 from Priority Health. Communicate correction to all providers and front desk staff to prevent claim denials. If any claims were denied or rejected under the erroneous June guidance, submit appeals or reprocessing requests.