
Blue Cross Blue Shield Medicare Advantage Garnet Plan
Table of Contents Introduction How to Maximize Your Benefits with the Blue Cross Blue Shield Medicare Advantage Garnet Plan Exploring the Different Coverage Options of
Home health services: Medicare insurance Part A (Hospital Insurance) and/or Medicare insurance Part B (Medical Insurance)
cover eligible home health services like these:
Usually, a home health care agency coordinates the services your doctor orders for you.
Medicare doesn’t pay for:
All people with insurance Part A and/or insurance Part B who meet all of these conditions are covered:
.
You’re not eligible for the home health insurance benefit if you need more than
. You may leave home for medical treatment or short, infrequent absences for non-medical reasons, like attending religious services. You can still get home health care if you attend adult daycare.
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Home health insurance services may also include medical supplies for use at home, durable medical equipment, or injectable osteoporosis drugs. |
for
.
Before you start getting your home health insurance care, the home health agency should tell you how much Medicare will pay. The agency should also tell you if any items or services they give you aren’t covered by Medicare, and how much you’ll have to pay for them. This should be explained by both talking with you and in writing. The home health agency should give you the Advance Beneficiary Notice” (ABN) notice before giving you services and supplies that Medicare insurance doesn’t cover.
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If you get services from a home health agency in Florida, Illinois, Massachusetts, Michigan, or Texas, you may be affected by a Medicare demonstration program. Under this demonstration, your home health agency, or you, may submit a request for pre-claim review of coverage for home health services to Medicare. This helps you and the home health agency know if Medicare is likely to cover the services earlier in the process. Medicare will review the information and cover the services if the services are medically necessary and meet Medicare requirements. Your Medicare home health services benefits aren’t changing and your access to home health insurance services shouldn’t be delayed by the pre-claim review process. For more information, call us at 1-800-MEDICARE. |
To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like:
Your doctor or other health insurance care provider may recommend you get insurance services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare insurance will pay for them.
Table of Contents Introduction How to Maximize Your Benefits with the Blue Cross Blue Shield Medicare Advantage Garnet Plan Exploring the Different Coverage Options of
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“We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800 MEDICARE to get information on all of your options.”