A beneficiary who purchases supplies from a Mail-Order supplier cannot be charged more than 20% coinsurance and any unmet deductible.
Non-Mail-Order supplier, Medicare enrolled and accepts Assignment.Ī beneficiary's payment will depend on which type of supplier is select. Suppliers who are not enrolled in Medicare may not bill Medicare for supplies a beneficiary purchases. Suppliers who do not accept assignment-based purchases may charge a different amount than suppliers who do accept assignment-based purchases. A supplier who accepts assignment-based purchases can charge only the Medicare approved amount for the supplies. Non-Mail Order suppliers also have the option to enroll in Medicare. Different charges are possible because Mail Order suppliers must accept assignment-based purchases and Non-Mail Order suppliers have the option to accept assignment-based purchases. īeneficiaries who purchase diabetic testing supplies using the Mail Order Option or the Non-Mail Order Option may be charged different amounts. Distinguishing between the two options is intended to prevent suppliers who did not win bids (or did not participate in the bidding competition) from circumventing the competitive bidding program and assures that the Medicare program realizes the savings afforded by the competitive bidding program. As discussed below, non-mail order supplies may be more costly to the beneficiary. Unfortunately, this means that beneficiaries no longer have the option of delivery from a local vendor even if the local business delivers other items to them.Ĭongress established strict reimbursement and delivery rules for the purchase and receipt of diabetic testing supplies and made distinctions between mail-order and non-mail order options (both as to cost and access). If this is attempted, Medicare Part B will not reimburse the supplier or the pharmacy. Beneficiaries who select the Mail-Order Option cannot have diabetic testing supplies shipped to a pharmacy and then have the pharmacy deliver the supplies to the beneficiary. Medicare Part B will reimburse mail-order deliveries provided that they are delivered directly from the supplier to a beneficiary's residence. Mail-order supplies will be shipped directly from the supplier to the beneficiary through a service such as United States Postal Service, Federal Express, the United Parcel Service or a mail-order contract supplier's delivery service. Under the national mail-order competitive bid program, traditional Medicare beneficiaries will purchase their diabetic testing supplies through a national mail-order contract supplier ("Mail Order Option") or in person from any Medicare-enrolled supplier of non-Medicare testing supplies ("Non-Mail Order Option"). However, Medicare Part D-covered supplies such as syringes, needles and inhaled insulin devices are not included in the national mail-order program. Įquipment such as blood glucose test strips, lancet devices, lancet, and glucose control solutions for checking the accuracy of testing equipment and test strips and other Medicare Part B covered diabetic testing supplies are included in the national mail-order program. Once implemented, beneficiaries in traditional Medicare will purchase diabetic testing supplies using a mail order option or a non-mail order option.
#Does medicare cover accu chek test strips zip
, The program applies to all zip codes in the 50 United States, the District of Columbia, Puerto Rico, U.S. On July 1, 2013, Medicare Part B will implement a national mail-order competitive bidding program specifically for diabetic testing supplies.
Career, Fellowship & Internship Opportunities.Ossen Medicare Outreach, Education and Advocacy Project.Connecticut Dually Eligible Appeals Project.The Center for Medicare Advocacy Founder’s Circle.Nursing Home / Skilled Nursing Facility Care.
0 kommentar(er)
