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Your notices will vary depending upon the type of Medicare plan you have.
• Original Medicare
You receive a quarterly Medicare Summary Notice (MSN) in the mail, for all payments Medicare made to your healthcare providers. As an alternative, you can sign up for secure Web site access to view your claims as soon as they’re processed, at www.mymedicare.gov.
• Medicare Advantage (Private Medicare Plans)
You receive an explanation of benefits in the mail; read your plan summary booklet for more information.
• Medicare Prescription Drug Plans
You receive a monthly explanation of benefits in the mail for all medications purchased during the calendar month.
• YOU will likely be the first to find mistakes or fraudulent payments. Most often, Medicare claims aren’t reviewed before the computer system sends money to your doctor or hospital. Look for these things:
• Charges for medical services you didn’t receive
• Billing twice for one service or item
• Services that were not ordered by your doctor
• Medicaid (Title 19)
You will not receive an explanation of benefits paid. Your doctor can check with Medicaid to review the services paid on your behalf, if you have any concerns that someone might be using your Medicaid ID number.
• Use our Personal Healthcare Journal to keep track of exactly what days you had medical visits and services you received. You can compare your journal to your Medicare and other insurance notices. Request this on our Contact Us page.
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