Medicare – Dual Eligible Beneficiaries
Posted on December 5, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice.
If you have any questions about the information in this notice, please contact Health New England Provider Relations at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m.
Reminder for Medicare providers:
As a reminder, Federal law prohibits Medicare providers from collecting Medicare Part A and Medicare Part B deductibles, coinsurance or copayments from those enrolled in the Qualified Medicare Beneficiaries (QMB) program, a dual eligible program that exempts individuals from Medicare cost-sharing liability.
If you are a Medicare provider and have any questions regarding balance billing prohibitions, please contact Provider Relations. If one of your current Health New England patients has any concerns regarding cost-sharing, please direct them to contact the Member Services number on the back of their member ID card.
