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Our busy family medicine practice struggled to add Medicare Wellness visits, in addition to seeing our established patients. A medical assistant we employ also had a degree in community health education, and quickly obtained certification. A dedicated clerical staff tracks patients who need a Medicare wellness visit, notifies them of this, and notifies the clinician at a patient's office visit that they are due. I now routinely tell eligible patients at the end of a visit that we offer this additional service, promoting that at a separate free visit ("it doesn't even come out of your deductible") they will receive a comprehensive preventive wellness visit including a health risk assessment and up date on their immunizations. More than 50% schedule it at the time they leave that appointment. While reportedly only 12% of eligible patients receive this benefit, about 25% of our Medicare patients received it this year. And at a lower expense than a physician providing this service.