Adult-Gerontology NP · Example layout
Golden Years Wellness
Specialized care for adults navigating midlife and beyond.
Practice setup + Growth plan
The Practice
Golden Years Wellness.
Specialized care for adults navigating midlife and beyond.
§ I·Time is the medicine
The difference is 45 minutes instead of 12.
Most of what goes wrong in geriatric primary care is not a diagnostic failure. It is a time failure. A 12-minute appointment cannot accommodate a 10-medication list, a balance concern, and a question about what happens if surgery is needed. This practice is built around visits long enough to do the work.
01
Medicare Annual Wellness Visit
Covered under Medicare Part B · Once per calendar year
The Medicare Annual Wellness Visit is a structured, 45-minute conversation about your health goals, your prevention priorities, and your care plan for the year ahead. It is not a physical exam and does not replace your comprehensive visit — but it is fully covered, produces a written prevention plan, and is the right foundation for everything else we do together.
02
Polypharmacy review
Comprehensive · Every medication, every interaction
Adults over 65 take an average of five prescription medications daily; many take eight or more. Each new prescription is an interaction waiting to be discovered. A dedicated polypharmacy review goes through every drug, every dose, and every combination — and identifies what can be simplified, consolidated, or stopped. Fewer medications taken correctly is often the most powerful prescription a clinician can write.
03
Fall risk and balance assessment
Gait · Strength · Medications · Environment · Vision
Falls are the leading cause of injury-related death in adults over 65 and, in most cases, are preceded by detectable warning signs. This assessment evaluates gait, lower-body strength, medication contributions, home environment, and vision — not to assign blame, but to find the two or three addressable factors that could meaningfully reduce risk. We use validated clinical tools and offer a written summary you can share with your care team.
§ II·Medicare-aware care
Built around how Medicare actually works.
Being Medicare-savvy is not a marketing claim. It means knowing which visits are covered, which preventive services are fully paid, and how to help you make the most of what you have. This practice was designed from the beginning for Medicare patients.
Medicare Annual Wellness Visits
Chronic disease management (cardiovascular, diabetes, COPD, arthritis)
Medication reconciliation and review
Fall risk and gait assessment
Cognitive screening
Depression and isolation screening
Advance care planning
Vaccinations (flu, pneumococcal, shingles, RSV)
The premise
Care that accounts for the whole person —
and for the people who help that person.
§ III·Patient and caregiver tracks
The same visit, explained for both people in the room.
The patient and the adult child often need different things from the same appointment. Each topic below is written twice: once for the patient, once for the caregiver or family member who may be involved in that care.
For the patient — what to expect
For the caregiver — how to support
Medicare Annual Wellness Visit
Your Annual Wellness Visit is not a physical exam. It is a structured conversation about your health goals, your current medications, and where you want the next year of care to go. You will leave with a written prevention plan. Plan for 45 to 60 minutes — that time is protected.
You are welcome to join this visit. Bring a written list of the medications your parent takes, including supplements and over-the-counter drugs. If you have noticed changes in memory, balance, or mood that your parent may not mention, this is the right time to raise them — privately or in the room.
Polypharmacy review
If you are taking five or more medications daily, a dedicated medication review is one of the most valuable things a clinician can do for you. We go through every drug, every dose, and every interaction — and we discuss which ones you may not still need. Fewer medications, taken correctly, is often better medicine.
Bring every bottle — prescription, supplement, vitamin, and over-the-counter. If your family member sees more than one specialist, there is a real chance that no one has reviewed the full list together. That review is exactly what this visit is for.
Fall risk and balance assessment
A fall is not a character flaw. It is often a detectable, preventable event. This assessment looks at your gait, your strength, your medications, your home environment, and your vision — not to alarm you, but to find the two or three things that, if addressed, could significantly reduce your risk.
If your parent has had a fall in the past year, or if you have noticed them holding walls, avoiding stairs, or being slower to rise from a chair, mention it. These are the signals we look for. You may have observed something your parent did not think worth reporting.
Advance care planning
This is not a conversation about dying. It is a conversation about what matters to you, so that your care reflects your values when you cannot speak for yourself. We can complete a healthcare directive here, in writing, in the time it takes to have the conversation you have been meaning to have.
If you are a designated healthcare proxy, or if you are hoping to become one, this visit is the right time to clarify that role. We will walk through what the documents mean, what decisions they address, and how to make sure the right people have copies.
Portrait · I
§ IV·Meet your provider
Margaret Osei
MSN, AGNP-C
Margaret built this practice around one principle: older adults deserve the same unhurried clinical attention that patients spent their careers being too busy to ask for. She is board-certified in adult-gerontology and has spent fifteen years in the intersection of primary care and complex chronic disease.
§ V·Insurance, simply
Medicare and supplements, plainly stated.
If you have Medicare, the answer is almost certainly yes. Here is the specific breakdown.
| Plan | Accepted | Notes |
|---|---|---|
| Medicare Part A | Hospital, skilled nursing, hospice | |
| Medicare Part B | Outpatient visits, preventive care, labs | |
| Medicare Advantage — HMO | In-network only; verify at enrollment | |
| Medicare Advantage — PPO | In-network preferred; out-of-network available | |
| Blue Cross Blue Shield Medicare Supplement | Most Medigap plans A through N | |
| UnitedHealthcare Medicare | ||
| Humana Medicare Advantage | ||
| Aetna Medicare Advantage | ||
| Tricare for Life | ||
| Medicaid / dual-eligible | — | Not currently accepted |
| Commercial (employer) insurance | — | Medicare patients only |
| Cash-pay | Transparent rates provided in advance |
Not sure about your specific plan? Call us before you schedule — we will confirm coverage and tell you exactly what your visit will cost.
§ VI·A different kind of visit
Schedule a longer visit.
New patients start with a 60-minute comprehensive visit. It is the only way to do the work properly. There is no intake questionnaire to complete before you arrive — just bring what is listed below and we will do the rest in the room.
01
Your medications
Bring every bottle — prescription, over-the-counter, supplement, and vitamin. If you cannot bring the bottles, bring a written list with the name, dose, and prescribing doctor for each.
02
Your insurance cards
Medicare card plus any supplemental or Advantage plan card. If you are unsure whether your plan is accepted, call us first — we will confirm coverage before you schedule.
03
A list of your questions
Write them down before you arrive. The first visit is long enough to address all of them. Nothing is too small to raise.
04
A support person, if you want one
A family member or caregiver is welcome in the room. If there are things you would like to discuss privately first, mention that when you call — we can arrange the visit accordingly.
Included in the build
- Large-type accessibilityPatients don't squint — they book.
- Medicare-aware copyMedicare-savvy patients see you understand their world.
- Caregiver resource pagesAdult children find their info too.
- Medication review bookingPolypharmacy gets the time it deserves.
- Insurance + Medicare gridCoverage question answered in one glance.
- Provider credentials prominentTrust signals where older adults look first.
Welcome to the practice
Want a site like this for your gerontology practice?
One flat fee. One care plan. A homepage that signals unhurried, dignified clinical care before the first patient calls.