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🫀 USA Physical Exam

Is an annual physical free?

Short answer

Most private plans cover one preventive visit a year at $0 in-network. Extra problem-focused services may cost extra. Original Medicare covers the Annual Wellness Visit instead of a routine physical.

Annual Physical Exam: Screenings by Age

Your annual physical exam is when your clinician checks which preventive screenings you’re due for. Common USPSTF-recommended screenings include:

ScreeningWho
Blood pressureAll adults 18+
DepressionAll adults
HIV (at least once)Ages 15–65
Hepatitis C (at least once)Ages 18–79
Prediabetes / type 2 diabetesAges 35–70 with overweight or obesity
Colorectal cancerAges 45–75
Mammogram (every 2 years)Women 40–74 (see breast exam)
Cervical cancerAges 21–65 (see pelvic exam)
Prostate cancer (PSA) discussionMen 55–69 (see prostate exam)

Vaccines are also reviewed: an annual flu shot, a Td/Tdap booster every 10 years, and age-based vaccines such as shingles and pneumococcal.

USA Physical Exam: Quick Facts

Typical length
20–60 minutes
Cost with ACA plan
$0 preventive visit in-network
Self-pay (primary care)
About $100–$300
Retail clinic sports/school physical
About $25–$100
Normal BP (AHA)
Below 120/80
Healthy BMI
18.5–24.9

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Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.