Monday, November 15, 2010

does medicare advantage plan cover durable medical equipement?

What if I need durable medical equipment and I am in a Medicare Advantage Plan?

Medicare Advantage Plans(like an HMOor PPO) must coverthe same items and services as Original Medicare. Your costs willdepend on which plan you choose, and may be lower thanOriginal Medicare. If you are in a Medicare Advantage Plan andyou need durable medical equipment, call your plan to find outif the equipment is covered and how much you will have to pay

If you are getting home care or using medical equipment and you choose to join a new Medicare Advantage Plan, you should call the new plan as soon as possible and ask for Utilization Management. They can tell if your equipment is covered and how much it will cost. If you return to Original Medicare, you should tell your supplier to bill Medicare directly after the date your coverage in the Medicare Advantage Plan ends.

Note: If your plan leaves the Medicare Program and you are using medical equipment such as oxygen or a wheelchair, call the telephone number on your Medicare Advantage Plan card. Ask for Utilization
Management. They will tell you how you can get care under Original Medicare or under a new Medicare Advantage Plan.

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