Passion Health Primary Care Blog Annual Physical vs. Sick Visit : What’s the Difference?

Annual Physical vs. Sick Visit : What’s the Difference?

Annual Physical vs. Sick Visit : What’s the Difference? post thumbnail image
Annual Physical vs. Sick Visit : What’s the Difference?

Understanding the difference between an annual physical exam and a sick visit helps you schedule the right appointment, use your insurance benefits wisely, and receive the most appropriate care.

Both visits are important — but they serve different purposes.

What Is an Annual Physical Exam?

An annual physical exam is a preventive care visit focused on maintaining your long-term health and preventing future illnesses.

Purpose:

 Prevent disease
Detect health risks early
Monitor overall wellness
Update screenings and vaccines

What It Includes:

  • Complete health history review

  • Blood pressure, weight, and BMI check

  • Routine blood tests (as needed)

  • Cholesterol and diabetes screening

  • Age-based cancer screenings

  • Lifestyle counseling

  • Immunization review

Insurance Coverage:

Most insurance plans cover annual physicals at no cost when done as a preventive visit with an in-network provider.

What Is a Sick Visit?

A sick visit (also called a problem-focused visit) is scheduled when you have specific symptoms, illnesses, or medical concerns that need evaluation and treatment.

Purpose:

 Diagnose illness
Treat symptoms
Manage existing conditions
Adjust medications

What It Includes:

  • Evaluation of your symptoms

  • Physical exam focused on the problem

  • Diagnostic testing (if needed)

  • Prescriptions or treatment plans

  • Follow-up care

Common Reasons for Sick Visits:

  • Fever, cough, or infection

  • Headache or pain

  • Stomach problems

  • Allergies or asthma flare-ups

  • Skin rashes

  • Chronic condition flare-ups

Insurance Coverage:

Sick visits usually involve copays, deductibles, or coinsurance, depending on your plan.

Annual Physical vs. Sick Visit: Quick Comparison

Feature

Annual Physical

Sick Visit

Purpose

Prevention & wellness

Diagnosis & treatment

Focus

Overall health

Specific problem

Timing

Once per year

Anytime needed

Insurance

Often covered 100%

Usually has copay

Symptoms

Not required

Required

Screening

Yes

Limited

Can Both Happen in the Same Visit?

Yes — sometimes.

If during your annual exam you discuss new symptoms or medical problems, your provider may need to perform a sick visit evaluation as well.

In this case:

Part of the visit may be billed as preventive
Part may be billed as medical care
You may have some out-of-pocket costs

Our staff will explain this clearly so there are no surprises.

How to Choose the Right Appointment

Schedule an Annual Physical if you:

 Feel generally well
Want routine checkups
Need preventive screenings
Are due for your yearly exam

Schedule a Sick Visit if you:

 Have pain or discomfort
Feel unwell
Have new symptoms
Need medication changes
Have chronic condition issues

Choosing the right visit helps you get faster, more focused care.

Tips to Maximize Your Visit

To avoid billing confusion:

 Tell us your main reason for the visit when booking
Separate preventive and medical concerns when possible
Ask about insurance coverage
Bring your symptom list
Share all concerns honestly

We’ll help you plan your care in the best way.

Why Both Visits Matter

Both annual physicals and sick visits are essential for your health:

Annual exams prevent disease
Sick visits treat problems early
Together, they support long-term wellness
Reduce hospital visits
Improve quality of life

Preventive and medical care work best when combined.

Schedule the Right Visit Today

At Passion Health Primary Care, we offer:

Whether you need a routine checkup or immediate care, our team is here to support you.

BOOK APPOINTMENT Now

 

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