How Do I Submit a Claim to Medicare?

You should not need to file any Medicare claims or bills.

This responsibility belongs to Original Medicare Plan providers, including hospitals, skilled nursing facilities, home health agencies, physicians, pharmacies, and suppliers that are enrolled in the Medicare program.

They are required by law to file Medicare claims for covered services or supplies you receive from a provider.

It is important to make sure your pharmacy or supplier is enrolled in the Medicare Program.

If you go to a pharmacy or supplier that is not enrolled, Medicare will not pay and you would be responsible for paying the entire bill for all drugs or supplies.

Medicare claims must be filed within one full calendar year following the year in which the services were provided.

This information is valid if you are in the Original Medicare Plan.

If you get your Medicare health care through a managed care plan like an HMO or a Private Fee-for-Service Plan, Medicare claims are not filed.

Instead, Medicare pays these private insurance companies a set amount every month.

For more Medicare FAQs please visit:

How Do I Submit a Claim to Medicare?

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