Medicare ReimbursementExcept on rare occasions, you should not have to file for reimbursement from Medicare.

If you have Original Medicare, your provider will send your claims directly to Medicare, which will pay your provider according to the established reimbursement rate.

How do reimbursement rates work?

They usually apply to charges directly related to your medical care, not to Medicare deductibles or premiums. Reimbursement rates set by the federal government determine how much a supplier or provider of products or services will get from Medicare.

How to file a claim:

If you do need to file a Medicare claim, you will first need to complete a “Patient’s Request for Medical Payment” form.

Once you complete this, get an itemized bill from your provider. The bill should include the following:

  • Date you received the service
  • Where you received the service
  • Name and address of the supplier or doctor 
  • Diagnosis
  • Service charges (each one)
  • A brief description of each surgical or medical service, or product furnished

Then send it to the Medicare contractor for your state. If you are not sure who that is, you can go to CMS.gov or call Medicare.

Make sure you describe the reasons why you received medical care from that provider. Mention if it is a work-related incident. If you have another form of insurance, please disclose that as well.

**If you need help filling out your claim, visit  Medicare.Gov**

Read Next: Renewing Your Medicare Plan
Learn About: Medicare and Moving to a New State
Return to: Medicare Admin

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