Back to Insights and Updates for ProvidersJuly 2025

Reminder: Annual wellness visit covered by calendar year

Tufts Health Plan Senior Care Options  |  Tufts Medicare Preferred

We’re committed to supporting our members in maintaining their optimal health, as well as working with our provider partners to further that common goal. Annual wellness visits — which are a covered benefit for Medicare members — are vital to this effort. They offer an opportunity for providers and members to collaborate on preventive care and detect and address health issues early, and aid in empowering members to take charge of their health.

As a reminder, Tufts Health Plan uses a calendar year (Jan. 1 through Dec. 31) for coverage of annual wellness visits for members of our Tufts Health Plan Senior Care Options and Tufts Medicare Preferred products. This means that a member can schedule a wellness visit fewer than 365 days after their previous visit, so long as the visits are in different calendar years (see example below).

Date of wellness visit Previous wellness visit Coverage
April 1, 2026 Nov. 15, 2025 Covered visit
Dec. 31, 2026 Jan. 1, 2026 Not covered due to being in same calendar year

We encourage providers to schedule annual wellness visits with Medicare members who are overdue for these important check-ins.