2013년 11월 28일 목요일

오전 12:56

By Hazel Klick

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About 'home health care medical supplies'|North Texas Medical Supply Company Owner Indicted For Health Care Fraud Now Also Charged With Immigration Fraud







About 'home health care medical supplies'|North Texas Medical Supply Company Owner Indicted For Health Care Fraud Now Also Charged With Immigration Fraud








Ｍｅｄｉｃａｒｅ               ｈｅａｌｔｈ               ｐｌａｎｓ               ｉｎ               2010-ｄｏ               ｙｏｕ               ｎｅｅｄ               Ｍｅｄｉｃａｒｅ               Ａｄｖａｎｔａｇｅ               ｃｏｖｅｒａｇｅ               ｔｏ               ｇｅｔ               ｔｈｅ               ｍｏｓｔ               ｏｕｔ               ｏｆ               ｙｏｕｒ               Ｍｅｄｉｃａｒｅ               ｂｅｎｅｆｉｔｓ?

Ｉｎ               ｍｙ               ｙｅａｒｓ               ｏｆ               ｗｏｒｋｉｎｇ               ｉｎ               Ｍｅｄｉｃａｒｅ               ｃｕｓｔｏｍｅｒ               ｓｅｒｖｉｃｅ,               Ｉ               ｈａｖｅ               ｂｅｅｎ               ａｓｋｅｄ               ｔｈａｔ               ｖｅｒｙ               ｑｕｅｓｔｉｏｎ               ｍｏｒｅ               ｔｉｍｅｓ               ｔｈａｎ               ｉｔ               ｉｓ               ｐｏｓｓｉｂｌｅ               ｔｏ               ｃｏｕｎｔ.

Ｔｈｅ               ｓｈｏｒｔ               ａｎｓｗｅｒ               ｉｓ,               "ｎｏ,"               ｙｏｕ               ｄｏ               ｎｏｔ               ｎｅｅｄ               ａ               Ｍｅｄｉｃａｒｅ               ｈｅａｌｔｈ               ｐｌａｎ,               ｎｏｔ               ｉｎ               2010               ｏｒ               ｉｎ               ａｎｙ               ｙｅａｒ.

Ｈｏｗｅｖｅｒ,               ｗｏｕｌｄ               ａ               ｐｒｉｖａｔｅｌｙ               ｍａｎａｇｅｄ               Ａｄｖａｎｔａｇｅ               Ｐｌａｎ               ｂｅｓｔ               ｓｅｒｖｅ               ｙｏｕｒ               ｎｅｅｄｓ?

Ｔｈａｔ               ｉｓ               ａ               ｄｉｆｆｅｒｅｎｔ               ｑｕｅｓｔｉｏｎ               ａｌｔｏｇｅｔｈｅｒ,               ａｎｄ               ｔｈｅ               ａｎｓｗｅｒ               ｄｅｐｅｎｄｓ               ｏｎ               ｕｎｄｅｒｓｔａｎｄｉｎｇ               ｊｕｓｔ               ｅｘａｃｔｌｙ               ｗｈａｔ               ａ               Ｍｅｄｉｃａｒｅ               ｈｅａｌｔｈ               ｐｌａｎ               ｉｓ               ａｎｄ               ｗｈａｔ               ｙｏｕｒ               ｉｎｓｕｒａｎｃｅ               ｎｅｅｄｓ               ａｒｅ.

Ｔｏ               ｈｅｌｐ               ｆｉｇｕｒｅ               ｏｕｔ               ｗｈｅｔｈｅｒ               ａ               ｈｅａｌｔｈ               ｐｌａｎ               ｉｓ               ｂｅｓｔ               ｆｏｒ               ｙｏｕ,               ｋｅｅｐ               ｉｎ               ｍｉｎｄ               ｔｈａｔ               Ａｄｖａｎｔａｇｅ               Ｐｌａｎｓ               ａｒｅ               ｉｎｓｕｒａｎｃｅ               ｐｏｌｉｃｉｅｓ,               ａｎｄ               ｔｈａｔ               ｔｈｅ               ｐｕｒｐｏｓｅ               ｏｆ               ｉｎｓｕｒａｎｃｅ               ｉｓ               ｒｉｓｋ               ｍａｎａｇｅｍｅｎｔ.

Ｐｅｏｐｌｅ               ｓｅｅｋ               ｏｕｔ               ｉｎｓｕｒａｎｃｅ               ｆｏｒ               ｅｓｓｅｎｔｉａｌｌｙ               ｔｗｏ               ｂａｓｉｃ               ｒｅａｓｏｎｓ:               ｐｅａｃｅ               ｏｆ               ｍｉｎｄ               ａｎｄ               ｔｏ               ｓｏｌｖｅ               ａ               ｐｒｏｂｌｅｍ               (ｏｒ               ｐｒｏｂｌｅｍｓ).

Ａｓｋ               ｙｏｕｒｓｅｌｆ               ｔｈｅｓｅ               ｔｗｏ               ｑｕｅｓｔｉｏｎｓ:               Ｗｈａｔ               ｈｅａｌｔｈ               ｒｉｓｋｓ               ａｒｅ               ｙｏｕ               ｍｏｓｔ               ｃｏｎｃｅｒｎｅｄ               ａｂｏｕｔ               ａｎｄ               ｗｈａｔ               ｐｒｏｂｌｅｍ               ａｒｅ               ｙｏｕ               ｔｒｙｉｎｇ               ｔｏ               ｓｏｌｖｅ?

Ｔｈｅ               ａｎｓｗｅｒｓ               ｔｏ               ｔｈｅｓｅ               ｑｕｅｓｔｉｏｎｓ               ｗｉｌｌ               ｈｅｌｐ               ｙｏｕ               ｆｉｇｕｒｅ               ｏｕｔ               ｗｈｅｔｈｅｒ               Ｍｅｄｉｃａｒｅ               ｈｅａｌｔｈ               ｐｌａｎ               ｃｏｖｅｒａｇｅ               ｗｏｕｌｄ               ｗｏｒｋ               ｆｏｒ               ｙｏｕ               ａｎｄ               ｗｈｉｃｈ               ｐｌａｎ               ｔｏ               ｊｏｉｎ.
               Ｍｅｄｉｃａｒｅ               Ａｄｖａｎｔａｇｅ               Ｐｌａｎｓ-ｏｒ               ｈｅａｌｔｈ               ｐｌａｎｓ,               ｔｈｅ               ｔｗｏ               ｔｅｒｍｓ               ｍｅａｎ               ｔｈｅ               ｓａｍｅ               ｔｈｉｎｇ               ｉｎ               ｔｈｅ               Ｍｅｄｉｃａｒｅ               ｓｙｓｔｅｍ,               ａｒｅ               ｐｒｉｖａｔｅｌｙ               ｍａｎａｇｅｄ               ｈｅａｌｔｈ               ｃａｒｅ               ｐｌａｎｓ               ｔｈａｔ               ｐｒｏｖｉｄｅ               ｃｏｖｅｒａｇｅ               ｆｏｒ               ｔｈｅ               ｓａｍｅ               ｃｏｒｅ               ｓｅｒｖｉｃｅｓ               ｅｓｔａｂｌｉｓｈｅｄ               ｂｙ               Ｏｒｉｇｉｎａｌ               Ｍｅｄｉｃａｒｅ.

Ａｄｖａｎｔａｇｅ               Ｐｌａｎｓ               ａｒｅ               ａｎ               ｏｐｔｉｏｎａｌ               ｗａｙ               ｔｏ               ｒｅｃｅｉｖｅ               ｙｏｕｒ               Ｍｅｄｉｃａｒｅ               ｃｏｖｅｒａｇｅ.

Ｔｈｅ               ｐｒｉｖａｔｅｌｙ               ｍａｎａｇｅｄ               ｐｌａｎｓ               ａｒｅ               ｓｏｌｄ               ｉｎ               ｔｈｅ               ｆｏｒｍ               ｏｆ               ｈｅａｌｔｈ               ｍａｉｎｔｅｎａｎｃｅ               ｏｒｇａｎｉｚａｔｉｏｎｓ               (ＨＭＯｓ),               ｐｒｅｆｅｒｒｅｄ               ｐｒｏｖｉｄｅｒ               ｏｒｇａｎｉｚａｔｉｏｎｓ               (ＰＰＯｓ),               ｐｒｉｖａｔｅ               ｆｅｅ               ｆｏｒ               ｓｅｒｖｉｃｅ               ｐｒｏｇｒａｍｓ               (ＰＦＦＳｓ),               ｍｅｄｉｃａｌ               ｓａｖｉｎｇｓ               ａｃｃｏｕｎｔｓ               (ＭＳＡｓ),               ａｎｄ               Ｃｏｓｔ               ｐｌａｎｓ,               ｔｏ               ｎａｍｅ               ａ               ｆｅｗ               ｅｘａｍｐｌｅｓ.

Ｗｈｅｎ               ｙｏｕ               ｊｏｉｎ               ａ               Ｍｅｄｉｃａｒｅ               ｈｅａｌｔｈ               ｐｌａｎ,               ｙｏｕ               ａｕｔｈｏｒｉｚｅ               ｔｈａｔ               ｉｎｓｕｒａｎｃｅ               ｃｏｍｐａｎｙ               ｔｏ               ｍａｎａｇｅ               ｙｏｕｒ               Ｍｅｄｉｃａｒｅ               ｄｏｃｔｏｒ               ａｎｄ               ｈｏｓｐｉｔａｌ               ｂｅｎｅｆｉｔｓ               ａｎｄ               ｔｏ               ｐｒｏｃｅｓｓ               ａｎｄ               ｂｅ               ｔｈｅ               ｓｉｎｇｌｅ               ｐａｙｅｒ               ｏｆ               ｙｏｕｒ               ｃｌａｉｍｓ.

Ｓｏｍｅ               Ａｄｖａｎｔａｇｅ               Ｐｌａｎｓ               ｍａｙ               ａｌｓｏ               ｏｆｆｅｒ               ｅｘｔｒａ               ｂｅｎｅｆｉｔｓ               ｎｏｔ               ｏｒｄｉｎａｒｉｌｙ               ａｖａｉｌａｂｌｅ               ｉｎ               Ｏｒｉｇｉｎａｌ               Ｍｅｄｉｃａｒｅ,               ｓｕｃｈ               ａｓ               ｈｅａｒｉｎｇ               ａｉｄｓ,               ｒｏｕｔｉｎｅ               ｐｈｙｓｉｃａｌ               ｅｘａｍｓ,               ｄｅｎｔａｌ               ｓｅｒｖｉｃｅｓ,               ｒｅａｄｉｎｇ               ｇｌａｓｓｅｓ,               ａｎｄ               ｒｏｕｔｉｎｅ               ｔｒａｎｓｐｏｒｔａｔｉｏｎ.
               Ｔｈｒｅｅ               ｉｍｐｏｒｔａｎｔ               ｐｏｉｎｔｓ               ｔｏ               ｃｏｎｓｉｄｅｒ               ｗｈｅｎ               ｄｅｃｉｄｉｎｇ               ｗｈｅｔｈｅｒ               ｏｒ               ｎｏｔ               ｔｏ               ｊｏｉｎ               ａ               ｈｅａｌｔｈ               ｐｌａｎ               ｃｏｎｃｅｒｎ               ｐｒｏｖｉｄｅｒｓ               (ｄｏｃｔｏｒｓ               ａｎｄ               ｈｏｓｐｉｔａｌｓ),               ｐｒｅ-ａｕｔｈｏｒｉｚａｔｉｏｎ,               ａｎｄ               ｓｅｒｖｉｃｅ               ａｒｅａ.

Ｆｉｒｓｔ,               ａｒｅ               ｙｏｕｒ               ｈｅａｌｔｈ               ｃａｒｅ               ｐｒｏｖｉｄｅｒｓ               ｉｎ               ｔｈｅ               ｐｌａｎ'ｓ               ｎｅｔｗｏｒｋ               ｏｒ               ｏｔｈｅｒｗｉｓｅ               ａｂｌｅ               ｔｏ               ｓｕｂｍｉｔ               ｃｌａｉｍｓ               ｔｏ               ｔｈｅ               ｉｎｓｕｒｅｒ?

Ｂｅｆｏｒｅ               ｙｏｕ               ｊｏｉｎ               ａｎｙ               ｐｌａｎ               ｙｏｕ               ｍｕｓｔ               ｆｉｎｄ               ｏｕｔ               ｉｆ               ｙｏｕｒ               ｐｒｏｖｉｄｅｒｓ               ｃａｎ               ｓｕｂｍｉｔ               ｃｌａｉｍｓ               ｔｏ               ｔｈｅ               Ｐｌａｎ.

Ｉｆ               ｔｈｅ               ａｎｓｗｅｒ               ｉｓ               ｎｏ,               ｔｈｅｎ               ｙｏｕ               ｗｏｕｌｄ               ｐａｙ               ｔｈｅ               ｃｈａｒｇｅｓ               ｏｕｔ               ｏｆ               ｙｏｕｒ               ｏｗｎ               ｐｏｃｋｅｔ.

Ｔｈｅ               ｓｅｃｏｎｄ               ｐｏｉｎｔ               ｃｏｎｃｅｒｎｓ               ｐｒｅ-ａｕｔｈｏｒｉｚａｔｉｏｎ.

Ｉｎ               ｇｅｎｅｒａｌ,               Ａｄｖａｎｔａｇｅ               Ｐｌａｎｓ               ｒｅｑｕｉｒｅ               ｐｒｅ-ａｕｔｈｏｒｉｚａｔｉｏｎ               ｆｏｒ               ｓｅｒｖｉｃｅｓ               ｂｅｆｏｒｅ               ｍａｋｉｎｇ               ｐａｙｍｅｎｔ.

Ｉｆ               ｙｏｕ               ｄｏ               ｎｏｔ               ｇｅｔ               ｐｒｅ-ａｕｔｈｏｒｉｚａｔｉｏｎ,               ｔｈｅｎ               ｉｎ               ｍｏｓｔ               ｃａｓｅｓ               ｔｈｅ               ｐｌａｎ               ｗｉｌｌ               ｎｏｔ               ｐａｙ.

Ｔｈｉｒｄ,               Ｍｅｄｉｃａｒｅ               ｈｅａｌｔｈ               ｐｌａｎｓ               ｃａｎ               ｏｎｌｙ               ｐｒｏｖｉｄｅ               ｏｎｌｙ               ｃａｒｅ               ｗｉｔｈｉｎ               ｔｈｅｉｒ               ｉｍｍｅｄｉａｔｅ               ｓｅｒｖｉｃｅ               ａｒｅａ.

Ｐｌｅａｓｅ               ｔａｋｅ               ｔｈｅ               ｔｉｍｅ               ｔｏ               ｆｉｎｄ               ｏｕｔ               ｉｆ               ｔｈｅ               Ｐｌａｎ               ｈａｓ               ｐｒｏｖｉｄｅｒｓ               ｉｎ               ｙｏｕｒ               ａｒｅａ-ｙｏｕ               ｄｏｎ'ｔ               ｗａｎｔ               ｔｏ               ｊｏｉｎ               ａｎｄ               ｆｉｎｄ               ｏｕｔ               ｙｏｕ               ｍｕｓｔ               ｄｒｉｖｅ               50               ｍｉｌｅｓ               ｔｏ               ｇｅｔ               ｔｏ               ｔｈｅ               ｎｅａｒｅｓｔ               ｄｏｃｔｏｒ.

Ｉｆ               ｙｏｕ               ｐｌａｎ               ｏｎ               ｔｒａｖｅｌｉｎｇ               ｏｒ               ａｒｅ               ａ               "ｓｎｏｗｂｉｒｄ"--ｃｈａｎｇｉｎｇ               ｙｏｕｒ               ｒｅｓｉｄｅｎｃｅ               ｄｅｐｅｎｄｉｎｇ               ｏｎ               ｓｅａｓｏｎ,               ｙｏｕ               ｍａｙ               ｎｏｔ               ｂｅ               ａｂｌｅ               ｔｏ               ｇｅｔ               ｔｈｅ               ｃａｒｅ               ｙｏｕ               ｎｅｅｄ               ｉｆ               ｙｏｕ               ｈａｖｅ               ａｎ               Ａｄｖａｎｔａｇｅ               Ｐｌａｎ.

Ｉ               ｄｏｎ'ｔ               ｗａｎｔ               ｔｏ               ｓｃａｒｅ               ｙｏｕ-Ｉ               ｔａｌｋ               ｔｏ               ｍａｎｙ               Ｍｅｄｉｃａｒｅ               ｂｅｎｅｆｉｃｉａｒｉｅｓ               ｅｖｅｒｙ               ｄａｙ               ｗｈｏ               ｌｏｖｅ               ｔｈｅｉｒ               Ａｄｖａｎｔａｇｅ               Ｐｌａｎｓ,               ｂｕｔ               ａｓ               ｗｉｔｈ               ａｎｙ               ｐｒｏｄｕｃｔ               ｓｏｌｄ               ｏｎ               ｔｈｅ               ｏｐｅｎ               ｍａｒｋｅｔ,               ａｓ               ａ               ｂｕｙｅｒ               ｙｏｕ               ｍｕｓｔ               ｂｅｗａｒｅ               ｂｅｃａｕｓｅ               ｉｆ               ｙｏｕ               ｍａｋｅ               ａ               ｍｉｓｔａｋｅ               ｉｎ               ｊｕｄｇｍｅｎｔ,               ｙｏｕ               ｗｉｌｌ               ｂｅａｒ               ｆｕｌｌ               ｒｅｓｐｏｎｓｉｂｉｌｉｔｙ               ｆｏｒ               ｔｈｅ               ｃｏｎｓｅｑｕｅｎｃｅｓ.
               Ｗｈｅｎ               ｙｏｕ               ａｒｅ               ｃｏｎｓｉｄｅｒｉｎｇ               ａ               ｈｅａｌｔｈ               ｐｌａｎ,               ｙｏｕ               ｗａｎｔ               ｔｏ               ｂｅ               ｓｕｒｅ               ｔｏ               ｆｉｎｄ               ｏｕｔ               ｔｈｅ               ｃｏｓｔｓ               ｏｆ               ｃｏｐａｙｍｅｎｔｓ               ｆｏｒ               ｄｏｃｔｏｒ               ｖｉｓｉｔｓ,               ｔｈｅ               ｃｏｓｔｓ               ｏｆ               ｉｎｐａｔｉｅｎｔ               ｈｏｓｐｉｔａｌ               ｃａｒｅ,               ｓｋｉｌｌｅｄ               ｎｕｒｓｉｎｇ               ｆａｃｉｌｉｔｙ               ｃａｒｅ,               ｏｕｔｐａｔｉｅｎｔ               ｓｅｒｖｉｃｅｓ               ａｎｄ               ｓｕｒｇｅｒｙ,               ａｍｂｕｌａｎｃｅ               ｓｅｒｖｉｃｅｓ,               ｅｍｅｒｇｅｎｃｙ               ｒｏｏｍ               ｖｉｓｉｔｓ,               ｌａｂ               ｆｅｅｓ,               ａｎｄ               ｘ-ｒａｙｓ               ａｎｄ               ｏｔｈｅｒ               ｒａｄｉｏｌｏｇｙ               ｓｅｒｖｉｃｅｓ,               ａｎｄ               ｄｕｒａｂｌｅ               ｍｅｄｉｃａｌ               ｅｑｕｉｐｍｅｎｔ.

Ｉｆ               ｙｏｕ               ｔｈｉｎｋ               ｙｏｕ               ｍｉｇｈｔ               ｒｅｑｕｉｒｅ               ｃｈｉｒｏｐｒａｃｔｉｃ               ｏｒ               ｐｈｙｓｉｃａｌ               ｔｈｅｒａｐｙ,               ｂｅ               ｓｕｒｅ               ｔｏ               ａｓｋ               ｒｅｐｒｅｓｅｎｔａｔｉｖｅｓ               ｏｆ               ｔｈｅ               ｐｌａｎｓ               ｉｎ               ｗｈｉｃｈ               ｙｏｕ               ａｒｅ               ｉｎｔｅｒｅｓｔｅｄ               ｆｏｒ               ｔｈｅ               ｃｏｓｔｓ               ａｎｄ               ｗｈｅｔｈｅｒ               ｔｈｅｒｅ               ａｒｅ               ａｎｙ               ｌｉｍｉｔａｔｉｏｎｓ               ｏｎ               ｓｅｒｖｉｃｅ.

Ｉ               ｗｏｕｌｄ               ａｌｓｏ               ｓｕｇｇｅｓｔ               ｙｏｕ               ａｓｋ               ａｂｏｕｔ               ｏｕｔ-ｏｆ-ｐｏｃｋｅｔ               ｍａｘｉｍｕｍｓ.

Ｓｏｍｅ               Ｍｅｄｉｃａｒｅ               ｈｅａｌｔｈ               ｐｌａｎｓ               ｅｓｔａｂｌｉｓｈ               ａ               ｍａｘｉｍｕｍ               ｌｉｍｉｔ               ｏｎ               ｈｏｗ               ｍｕｃｈ               ｙｏｕ               ｐａｙ               ｆｏｒ               ｄｏｃｔｏｒ               ａｎｄ               ｈｏｓｐｉｔａｌ               ｂｅｎｅｆｉｔｓ               ａｎｄ               ｔｈａｔ,               ｉｎ               ｔｕｒｎ,               ｃｏｕｌｄ               ｓａｖｅ               ｙｏｕ               ｍｏｎｅｙ               ｆｏｒ               ｃｅｒｔａｉｎ               ｔｙｐｅｓ               ｏｆ               ｓｅｒｖｉｃｅｓ               ｓｈｏｕｌｄ               ｙｏｕ               ｒｅａｃｈ               ａ               ｃａｔａｓｔｒｏｐｈｉｃ               ｌｅｖｅｌ               ｏｆ               ｃｏｖｅｒａｇｅ..

Ｍｏｓｔ               Ｍｅｄｉｃａｒｅ               Ｐｌａｎｓ               ｉｎｃｌｕｄｅ               ｄｒｕｇ               ｃｏｖｅｒａｇｅ,               ｓｏ               ｙｏｕ               ｗａｎｔ               ｔｏ               ｆｉｎｄ               ｏｕｔ               ｔｈｅ               ｃｏｓｔｓ               ｏｆ               ｔｈｅ               ｐｒｅｓｃｒｉｐｔｉｏｎ               ｐｌａｎ,               ｓｕｃｈ               ａｓ               ｔｈｅ               ｐｒｅｍｉｕｍ,               ｄｅｄｕｃｔｉｂｌｅ,               ｃｏｐａｙｍｅｎｔｓ               ａｎｄ               ｗｈｅｔｈｅｒ               ｏｒ               ｎｏｔ               ｙｏｕ               ｗｉｌｌ               ｅｎｔｅｒ               ｔｈｅ               ｃｏｖｅｒａｇｅ               ｇａｐ.

Ｂｅ               ｓｕｒｅ               ｔｏ               ｖｅｒｉｆｙ               ｔｈａｔ               ｙｏｕｒ               ｍｅｄｉｃａｔｉｏｎｓ               ａｒｅ               ｏｎ               ｔｈｅ               Ｐｌａｎ               ｆｏｒｍｕｌａｒｙ.

Ｆｉｎａｌｌｙ,               ｂｅ               ｓｕｒｅ               ｔｏ               ｐａｙ               ｓｐｅｃｉａｌ               ａｔｔｅｎｔｉｏｎ               ｔｏ               ｔｈｅ               ｃｏｓｔｓ               ｏｆ               ｓｅｒｖｉｃｅｓ               ｙｏｕ               ａｒｅ               ｍｏｓｔ               ｉｎｔｅｒｅｓｔｅｄ               ｉｎ               ｏｒ               ａｎｔｉｃｉｐａｔｅ               ｎｅｅｄｉｎｇ               ｔｈｅ               ｍｏｓｔ.

Ｔｈｉｓ               ｍａｙ               ｒｅｑｕｉｒｅ               ａ               ｂｉｔ               ｏｆ               ｒｅｓｅａｒｃｈ,               ｂｕｔ               ｙｏｕ               ｃａｎ               ｔｈｅｎ               ｃｏｍｐａｒｅ               ｃｏｓｔ-ｓｈａｒｉｎｇ               ｉｎｆｏｒｍａｔｉｏｎ               ｗｉｔｈ               Ｏｒｉｇｉｎａｌ               Ｍｅｄｉｃａｒｅ.
               Ｏｒｉｇｉｎａｌ               Ｍｅｄｉｃａｒｅ,               ｉｎ               ｃｏｎｔｒａｓｔ,               ｉｓ               ｔｈｅ               Ｍｅｄｉｃａｒｅ               ｐｒｏｇｒａｍ               ｍａｎａｇｅｄ               ｂｙ               ｔｈｅ               Ｆｅｄｅｒａｌ               ｇｏｖｅｒｎｍｅｎｔ               ａｎｄ               ｗａｓ               ｆｉｒｓｔ               ｓｉｇｎｅｄ               ｉｎｔｏ               ｌａｗ               ｂｙ               Ｐｒｅｓｉｄｅｎｔ               Ｌｙｎｄｏｎ               Ｊｏｈｎｓｏｎ               ｉｎ               1965.

Ｔｈｅ               Ｏｒｉｇｉｎａｌ               Ｍｅｄｉｃａｒｅ               ｐｒｏｇｒａｍ               ｉｓ               ａ               ｆｅｅ               ｆｏｒ               ｓｅｒｖｉｃｅ               ｐｒｏｇｒａｍ,               ｗｈｉｃｈ               ｍｅａｎｓ               ｔｈａｔ               ｍｅｄｉｃａｌ               ｐｒｏｖｉｄｅｒｓ               ｂｉｌｌ               Ｍｅｄｉｃａｒｅ               ｆｏｒ               ｅａｃｈ               ｓｅｒｖｉｃｅ               ｏｒ               ｓｕｐｐｌｙ               ｙｏｕ               ｒｅｃｅｉｖｅ.

Ｔｈｅｒｅ               ｉｓ               ｎｏ               ｐｒｅ-ｄｅｔｅｒｍｉｎｅｄ               ｎｅｔｗｏｒｋ               ｏｆ               ｐｒｏｖｉｄｅｒｓ               (ｄｏｃｔｏｒ,               ｈｏｓｐｉｔａｌｓ,               ａｎｄ               ｏｔｈｅｒ               ｈｅａｌｔｈ               ｃａｒｅ               ｐｒｏｖｉｄｅｒｓ).

Ｙｏｕ               ｓｉｍｐｌｙ               ｇｏ               ｔｏ               ａｎｙ               ｄｏｃｔｏｒ               ｏｒ               ｈｏｓｐｉｔａｌ               ｅｎｒｏｌｌｅｄ               ｉｎ               ｔｈｅ               Ｍｅｄｉｃａｒｅ               ｐｒｏｇｒａｍ               ａｎｙｗｈｅｒｅ               ｉｎ               ｔｈｅ               Ｕｎｉｔｅｄ               Ｓｔａｔｅｓ.

Ｐａｙｍｅｎｔ               ｔｏ               ｐｒｏｖｉｄｅｒｓ               ｉｓ               ｂａｓｅｄ               ｏｎ               ａ               ｆｅｅ               ｓｃｈｅｄｕｌｅ               ｅｓｔａｂｌｉｓｈｅｄ               ｂｙ               ｔｈｅ               Ｃｅｎｔｅｒｓ               ｆｏｒ               Ｍｅｄｉｃａｒｅ               ａｎｄ               Ｍｅｄｉｃａｉｄ               Ｓｅｒｖｉｃｅｓ               (ＣＭＳ,               ｗｈｉｃｈ               ｉｓ               ｔｈｅ               ｍｏｒｅ               ｆｏｒｍａｌ               ｎａｍｅ               ｆｏｒ               ｔｈｅ               ｆｅｄｅｒａｌｌｙ               ｍａｎａｇｅｄ               Ｍｅｄｉｃａｒｅ               ａｇｅｎｃｙ).

Ｍｅｄｉｃａｒｅ               ｄｏｅｓ               ｎｏｔ               ｐｒｅ-ａｕｔｈｏｒｉｚｅ               ｓｅｒｖｉｃｅｓ               ｂｕｔ               ｒｅｌｉｅｓ               ｏｎ               ｔｈｅ               ｃｌａｉｍｓ               ｓｕｂｍｉｔｔｅｄ               ｂｙ               ｐｒｏｖｉｄｅｒｓ               ｔｏ               ｅｓｔａｂｌｉｓｈ               ｍｅｄｉｃａｌ               ｎｅｃｅｓｓｉｔｙ               ｂｅｆｏｒｅ               ｐａｙｍｅｎｔ               ｃａｎ               ｂｅ               ｍａｄｅ.
               Ｗｈｅｎ               ｙｏｕ               ａｒｅ               ｅｎｒｏｌｌｅｄ               ｗｉｔｈ               Ｏｒｉｇｉｎａｌ               Ｍｅｄｉｃａｒｅ               ａｎｄ               ｎｅｅｄ               ｄｒｕｇ               ｃｏｖｅｒａｇｅ,               ａｎｙ               Ｍｅｄｉｃａｒｅ               ｂｅｎｅｆｉｃｉａｒｙ               ｗｉｔｈ               ｅｉｔｈｅｒ               Ｐａｒｔ               Ａ               ｏｒ               Ｂ               ｏｒ               ｂｏｔｈ               ｃａｎ               ｊｏｉｎ               ａ               Ｍｅｄｉｃａｒｅ               ｓｔａｎｄ-ａｌｏｎｅ               (ｐｒｅｓｃｒｉｐｔｉｏｎ               ｏｎｌｙ)               ｐｌａｎ               ｔｈａｔ               ｗｏｒｋｓ               ｐａｒａｌｌｅｌ               ｔｏ               Ｐａｒｔ               Ａ               ａｎｄ/ｏｒ               Ｂ.

Ａｓ               ａｎ               ａｓｉｄｅ,               Ｉ'ｌｌ               ｍｅｎｔｉｏｎ               ｔｈａｔ               Ｉ               ｔａｌｋ               ｔｏ               ｍａｎｙ               Ｍｅｄｉｃａｒｅ               ｅｎｒｏｌｌｅｅｓ               ｗｈｏ               ｔｈｉｎｋ               ｔｈａｔ               ｔｈｅ               ｏｎｌｙ               ｗａｙ               ｔｏ               ｇｅｔ               ｄｒｕｇ               ｃｏｖｅｒａｇｅ               ｉｓ               ｔｏ               ｊｏｉｎ               ａ               Ｍｅｄｉｃａｒｅ               Ａｄｖａｎｔａｇｅ               Ｐｌａｎ,               ａｎｄ               ｔｈａｔ               ｉｓ               100%               ｉｎｃｏｒｒｅｃｔ.

Ｙｏｕ               ｈａｖｅ               ａ               ｃｈｏｉｃｅ-ｙｏｕ               ｃａｎ               ｒｅｃｅｉｖｅ               ｄｒｕｇ               ｃｏｖｅｒａｇｅ               ｔｈｒｏｕｇｈ               ａ               ｓｔａｎｄ-ａｌｏｎｅ               ｐｌａｎ               ｏｒ               ｗｉｔｈｉｎ               ｔｈｅ               ｐａｃｋａｇｅ               ｏｆ               ｂｅｎｅｆｉｔｓ               ｐｒｏｖｉｄｅｄ               ｂｙ               ａｎ               Ａｄｖａｎｔａｇｅ               Ｐｌａｎ.

Ｗｈｅｎ               ｙｏｕ               ｈａｖｅ               ｏｔｈｅｒ               ｃｒｅｄｉｔａｂｌｅ               ｃｏｖｅｒａｇｅ,               ｓｕｃｈ               ａｓ               ｔｈｒｏｕｇｈ               ａｎ               ｅｍｐｌｏｙｅｒ               ｇｒｏｕｐ               ｈｅａｌｔｈ               ｉｎｓｕｒａｎｃｅ,               ａ               ｒｅｔｉｒｅｅ               ｃｏｖｅｒａｇｅ,               ｔｈｅ               ＶＡ,               ｏｒ               Ｔｒｉｃａｒｅ,               ｔｈｅｎ               ｙｏｕ               ｄｏ               ｎｏｔ               ｎｅｅｄ               ｔｏ               ｊｏｉｎ               ａ               Ｍｅｄｉｃａｒｅ               ｐｌａｎ,               ａｓ               ｔｈｅｒｅ               ｉｓ               ａｎ               ｅｘｃｌｕｓｉｏｎ               ｆｏｒ               ｉｎｄｉｖｉｄｕａｌｓ               ｗｉｔｈ               ｎｏｎ-Ｍｅｄｉｃａｒｅ               ｃｒｅｄｉｔａｂｌｅ               ｃｏｖｅｒａｇｅ.
               Ｏｒｉｇｉｎａｌ               Ｍｅｄｉｃａｒｅ               ｃｏｎｓｉｓｔｓ               ｏｆ               Ｐａｒｔ               Ａ               ａｎｄ               Ｐａｒｔ               Ｂ.

Ｐａｒｔ               Ａ               ｃｏｖｅｒｓ               ｉｎｐａｔｉｅｎｔ               ｈｏｓｐｉｔａｌ               ｃｈａｒｇｅｓ,               ｈｏｍｅ               ｈｅａｌｔｈ               ｃａｒｅ,               ｓｋｉｌｌｅｄ               ｎｕｒｓｉｎｇ               ｆａｃｉｌｉｔｙ               ｃａｒｅ,               ｉｎｐａｔｉｅｎｔ               ｍｅｎｔａｌ               ｈｅａｌｔｈ               ｃａｒｅ,               ａｎｄ               ｃａｒｅ               ｉｎ               ｌｏｎｇ               ｔｅｒｍ               ｈｏｓｐｉｔａｌｓ.

Ｐａｒｔ               Ｂ               ｃｏｖｅｒｓ               ｄｏｃｔｏｒｓ'               ｓｅｒｖｉｃｅｓ,               ｍｅｄｉｃａｌ               ｓｕｐｐｌｉｅｓ,               ａｎｄ               ｅｑｕｉｐｍｅｎｔ,               ａｎｄ               ｈｏｓｐｉｔａｌ               ｏｕｔｐａｔｉｅｎｔ               ｃａｒｅ.

Ｅａｃｈ               ｐａｒｔ               ｏｆ               Ｍｅｄｉｃａｒｅ               ｈａｓ               ｉｔｓ               ｏｗｎ               ｄｅｄｕｃｔｉｂｌｅ               ａｎｄ               ｃｏｉｎｓｕｒａｎｃｅ               ｃｏｓｔｓ.

Ｔｈｅ               ｋｉｎｄ               ｏｆ               ｃａｒｅ               ｙｏｕ               ｒｅｃｅｉｖｅ               ｄｅｔｅｒｍｉｎｅｓ               ｗｈｉｃｈ               ｐａｒｔ               ｏｆ               Ｍｅｄｉｃａｒｅ               ｔｈｅ               ｃｌａｉｍ               ｉｓ               ｓｅｎｔ               ｆｏｒ               ｐｒｏｃｅｓｓｉｎｇ,               ｈｏｗ               ｉｔ               ｉｓ               ｐｒｏｃｅｓｓｅｄ,               ｈｏｗ               ｍｕｃｈ               ｉｓ               ｐａｉｄ,               ａｎｄ               ｗｈａｔ               ｙｏｕｒ               ｓｈａｒｅ               ｏｆ               ｔｈｅ               ｃｏｓｔｓ               ｗｉｌｌ               ｂｅ.
               Ｔｏ               ｗｒａｐ               ｕｐ,               ａｌｔｈｏｕｇｈ               ｙｏｕｒ               ｏｐｔｉｏｎｓ               ｗｉｔｈｉｎ               ｔｈｅ               Ｍｅｄｉｃａｒｅ               ｐｒｏｇｒａｍ               ｃａｎ               ｓｅｅｍ               ｃｏｍｐｌｉｃａｔｅｄ               ａｎｄ               ｃｏｎｆｕｓｉｎｇ,               ｔｈｅｒｅ               ａｒｅ               ａ               ｆｅｗ               ｒｅｌａｔｉｖｅｌｙ               ｂａｓｉｃ               ｓｔｅｐｓ               ｙｏｕ               ｃａｎ               ｔａｋｅ               ｔｏ               ｄｅｔｅｒｍｉｎｅ               ｗｈｅｔｈｅｒ               ｃｏｖｅｒａｇｅ               ｂｙ               ａ               Ｍｅｄｉｃａｒｅ               ｈｅａｌｔｈ               ｐｌａｎ               ｉｎ               2010               (ｏｒ               ａｎｙ               ｙｅａｒ)               ｏｒ               ｔｈｒｏｕｇｈ               Ｏｒｉｇｉｎａｌ               Ｍｅｄｉｃａｒｅ               ｉｓ               ｂｅｓｔ               ｆｏｒ               ｙｏｕ.

Ｆｉｒｓｔ,               ｉｄｅｎｔｉｆｙ               ｔｈｅ               ｈｅａｌｔｈ               ｎｅｅｄｓ               ａｎｄ               ｃｏｎｃｅｒｎｓ               ｍｏｓｔ               ｉｍｐｏｒｔａｎｔ               ｔｏ               ｙｏｕ.

Ｓｅｃｏｎｄ,               ａｓ               ｍｕｃｈ               ａｓ               ｐｏｓｓｉｂｌｅ,               ｆｉｎｄ               ｏｕｔ               ｈｏｗ               ｔｈｅ               ｉｎｓｕｒａｎｃｅ               ｄｅｔｅｒｍｉｎｅｓ               ｐａｙｍｅｎｔ               ａｎｄ               ｈｏｗ               ｍｕｃｈ               ｉｔ               ｉｓ               ｌｉｋｅｌｙ               ｔｏ               ｐａｙ               ｏｎ               ｔｈｅ               ｋｉｎｄｓ               ｏｆ               ｓｅｒｖｉｃｅｓ               ｙｏｕ               ｍａｙ               ｎｅｅｄ               ｔｈｅ               ｍｏｓｔ.

Ｔｈｉｒｄ,               ｅｘａｍｉｎｅ               ｔｈｅ               ｂａｓｉｃ               ｒｕｌｅｓ               ｔｈａｔ               ｇｏｖｅｒｎ               ｔｈｅ               ｕｓｅ               ｏｆ               ｔｈｅ               ｐｏｌｉｃｙ               ｓｕｃｈ               ａｓ               ｐｒｅ-ａｕｔｈｏｒｉｚａｔｉｏｎ,               ｓｅｒｖｉｃｅ               ａｒｅａ               ｒｅｑｕｉｒｅｍｅｎｔｓ,               ａｎｄ               ｌｉｍｉｔａｔｉｏｎｓ               ｏｆ               ｋｉｎｄｓ               ｏｆ               ｃｏｖｅｒａｇｅ               ａｎｄ               ａｃｃｅｓｓ               ｔｏ               ｐｒｏｖｉｄｅｒｓ.

Ｆｏｒ               ｍｏｒｅ               ｉｎｆｏｒｍａｔｉｏｎ               ｏｎ               ｔｈｅ               ｏｐｔｉｏｎｓ               ａｖａｉｌａｂｌｅ               ｔｏ               ｙｏｕ               ｉｎ               ｔｈｅ               Ｍｅｄｉｃａｒｅ               ｐｒｏｇｒａｍ,               ｙｏｕ               ｃａｎ               ｃａｌｌ               1-800-ＭＥＤＩＣＡＲＥ               (1-800-633-4227)               24               ｈｏｕｒｓ               ａ               ｄａｙ,               7               ｄａｙｓ               ａ               ｗｅｅｋ.
               Ｓｏｕｒｃｅｓ               
               Ｃｅｎｔｅｒｓ               ｆｏｒ               Ｍｅｄｉｃａｒｅ               ａｎｄ               Ｍｅｄｉｃａｉｄ               Ｓｅｒｖｉｃｅｓ,               Ｍｅｄｉｃａｒｅ               &               Ｙｏｕ               2010,               ｗｗｗ.ｍｅｄｉｃａｒｅ.ｇｏｖ






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    댓글 1개:

    1. Easton Taylor2021년 9월 12일 오후 10:46

      atorvastatin 80 mg Tablet is used to lower blood cholesterol and reduce the risk of heart diseases. It contains atorvastatin as its active ingredient, also known as statins. Is taken to prevent heart disease, including heart attacks and strokes.

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