Physical vs Office Visit

Understanding the difference helps you know what to expect, including how your visit may be billed. Here is a simple breakdown.

Preventive

Annual Physical

A wellness exam for patients who feel well and have no specific complaints. It is a head-to-toe review of your overall health.

  • Complete physical examination
  • Review and update of immunizations
  • Age-appropriate screenings
  • Guidance on diet, exercise, and prevention
Problem-based

Office Visit

A focused visit to address a new or ongoing medical concern. The exam centers on the reason for your visit.

  • New symptoms or concerns
  • Follow-up on chronic conditions (diabetes, blood pressure, cholesterol)
  • Medication adjustments or refills
  • Lab orders, procedures, or referrals

When both happen in one appointment

Sometimes you come in for a physical and also want to discuss a separate problem, for example, a new symptom or a chronic condition that needs attention. When that happens, your appointment includes both a preventive physical and a problem-based office visit.

Because additional work, examination, and documentation are involved, a combined visit is billed differently than a physical alone.

What this means for you: Many insurance plans fully cover a preventive physical, but a problem addressed during the same visit may apply a copay, coinsurance, or deductible. Coverage varies by plan, so we always recommend checking with your insurance company about how different visit types are covered.

We know this can be confusing. If you have any questions about which type of visit you need, please ask. We are always glad to help.

Have a question about your visit?

Call our team and we will help you schedule the right appointment.

Call 301-762-7723