What Original Medicare covers ; Getting care in a disaster or emergency ; Claims, Appeals, and Complaints
Because certain providers are "preferred," you can save money by using a PPO. Your plan can’t charge more than Original Medicare for certain services like chemotherapy, dialysis, and skilled nursing facility care. If your plan gives you prior approval for a treatment, the approval must be valid for as long as the treatment’s medically necessary. Also, your plan can’t ask you to get additional approvals for that treatment. If you’re currently getting treatment and you switch to a new plan...
A doctor can be: ; A Doctor of Medicine (MD) ; A Doctor of Osteopathic Medicine (DO) ; In some cases, a dentist, podiatrist (foot doctor), optometrist (eye doctor), or doctor of chiropractic
Hemoglobin A1c test result between 5.7% and 6.4% ; Fasting plasma glucose of 110-125mg/dL ; 2-hour plasma glucose of 140-199 mg/dL (oral glucose tolerant test)
Using a provider that accepts assignment · Most doctors, providers, and suppliers accept assignment, but always check to make sure that yours do. If your doctor, provider, or supplier accepts assignment: Your out-of-pocket costs may be less. They agree to charge you only the Medicare deductible and coinsurance amount, and usually wait for Medicare to pay its share before asking you to pay your share. They have to submit your claim directly to Medicare and can't charge you for submitting the cl...
Welcome · Doctors & clinicians · Hospitals · Nursing homes including rehab services · Home health services · Hospice care · Inpatient rehabilitation facilities · Long-term care hospitals · Dialysis facilities · Medical equipment & suppliers
Your quality of care by any provider in any setting ; Not getting treatment when you got abnormal test results ; Being sent home from the hospital when you’re still in severe pain ; Being sent home from the hospital without clear instructions on how to maintain your care
Welcome · Doctors & clinicians · Hospitals · Nursing homes including rehab services · Home health services · Hospice care · Inpatient rehabilitation facilities · Long-term care hospitals · Dialysis facilities · Medical equipment & suppliers
Send us a fax: 1-844-530-3676. ; Centers for Medicare & Medicaid Services ; Offices of Hearings and Inquiries (OHI) ; 7500 Security Boulevard, Mail Stop DO-01-20
We’re here to help health care providers stay compliant with Medicare regulations. Find helpful information about Aetna Medicare Advantage plans, compliance and attestation requirements, training a...