[et_pb_section admin_label="Section" fullwidth="on" specialty="off"][et_pb_fullwidth_header admin_label="Fullwidth Header" title="Financial Tip of the Month" background_layout="light" text_orientation="left" header_fullscreen="off" header_scroll_down="off" parallax="off" parallax_method="off" content_orientation="center" image_orientation="center" custom_button_one="off" button_one_letter_spacing="0" button_one_use_icon="default" button_one_icon_placement="right" button_one_on_hover="on" button_one_letter_spacing_hover="0" custom_button_two="off" button_two_letter_spacing="0" button_two_use_icon="default" button_two_icon_placement="right" button_two_on_hover="on" button_two_letter_spacing_hover="0" subhead="May 2017"] [/et_pb_fullwidth_header][/et_pb_section][et_pb_section admin_label="section"][et_pb_row admin_label="row"][et_pb_column type="4_4"][et_pb_text admin_label="Text" background_layout="light" text_orientation="left" use_border_color="off" border_color="#ffffff" border_style="solid" saved_tabs="all"]
By David S Edge
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How do I file a claim with Medicare?
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If you have a Medicare Advantage plan you receive all your medical care from your network that you signed up for. You should never have to file a separate claim for reimbursement directly from Medicare. Simply pay any required co-pays on your plan to your medical provider.
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However, if you have Medicare with a Medigap (Supplement) plan, you will find most medical providers participate in Medicare and will file your paperwork or claims for you. There are a much smaller percentage of medical providers who do notparticipate in Medicare. This is when you may need to do the paperwork yourself.
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Non-participating medical providers may want you to pay them for services rendered at the time of your service. You will take the bill and fill out a “Patient’s Request for Medical Payment” form that you can get at Medicare’s website at www.medicare.gov. You will mail the completed claim form directly to Medicare. You will call 1-800-Medicare to find out the address to your local Medical billing office.
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On Medicare’s website, look on the top right side of the screen and click on the “Forms, Help, & Resources” tab.
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Next, select the tab on the left titled Medicare Forms. The page will open to several options. Select Iwant to file a claim for services.
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In the paragraph that opens, select the first option in the opening sentence “Patient Request for Medical Payments form”.
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The screen will change and be titled Details for title: CMS 1490S. Scroll down and select the very first item on the list; CMS 1490S- English. You will also see the option of a Spanish version of the form.
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The second selection on the list is direction on how to fill out the form. You can print this as well.
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The form is simple and requires your name, Medicare ID number, male or female, your mailing address, and a brief explanation of why you received this medical service. Attach a copy of the bill, and follow the mailing instructions.
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You will receive a payment from Medicare for their portion of the submitted bill, and a second payment for the balance of the bill will be sent to you by your Medigap carrier.
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