Proactive cognitive care and testing can provide benefits to all people aged 55 years and older, but are especially important for individuals aged 65 and older. To that end, Medicare now includes a requirement for cognitive impairment detection within the Annual Wellness Visit (AWV). Regardless of age, cognitive tests should be performed for anyone experiencing signs of cognitive impairment. Proactive care practices can not only support early detection, but also facilitate impactful coaching on steps patients can take to protect their brain health by addressing modifiable risk factors for dementia.