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INSURANCES WE CAN FILE ON YOUR BEHALF AS AN IN-NETWORK PROVIDER
When you choose Pro-Tech Medical for you home medical needs, we submit your claim to insurance for you.
We are in-network providers for:
Medicare
Americhoice
Amerigroup
BC/BS
HealthSpring
Sterling Option
United Healthcare
Saturn/GM - Northwood
TN-SELECT
We also can provide service for the following on a case-by-case:
Aetna
Humana
Tricare
We are unable to provide in-network service for the following:
Cigna
Polaris
Showing posts with label Insurance. Show all posts
Showing posts with label Insurance. Show all posts
Monday, January 21, 2008
Friday, January 18, 2008
New Year is the Right Time to Check Your Deductible
INSURANCE DEDUCTIBLES
As the new year begins, so does your benefit program with your insurance. Time to review your deductible.
If you are prescribed an item to be billed for Durable Medical Equipment services, you will most likely be charged the full amount up to your deductible. Make sure to check your requirements for payment and be prepared for a possible out of pocket expense.
"When I help customers in our retail store, I always try to verify their benefits and check their deductibles, " said Sheila Quirk, Customer Service Representative.
Pro-Tech Medical strives to provide each customer with accurate information before a charge is made to their insurance. But, beware. You should always set aside a time to verify you insurance benefits at the beginning of each year. This will help you better navigate the healthcare system.
As the new year begins, so does your benefit program with your insurance. Time to review your deductible.
If you are prescribed an item to be billed for Durable Medical Equipment services, you will most likely be charged the full amount up to your deductible. Make sure to check your requirements for payment and be prepared for a possible out of pocket expense.
"When I help customers in our retail store, I always try to verify their benefits and check their deductibles, " said Sheila Quirk, Customer Service Representative.
Pro-Tech Medical strives to provide each customer with accurate information before a charge is made to their insurance. But, beware. You should always set aside a time to verify you insurance benefits at the beginning of each year. This will help you better navigate the healthcare system.
Thursday, January 10, 2008
Saturn/GM Employees Beware, Know Your Insurance Coverage
KNOW YOUR INSURANCE PROVIDERS
Do you work for the Saturn/GM manufacturing plant? Are you a family member of someone who does? Are you a retiree? If the answer to any of these questions is "yes," there's a high probability your DME benefits are administered by a company called Northwood. The front of your card may say BC/BS or United Healthcare but your DME benefits are determined by a totally different company.
Why does this matter to you? Northwood has a select group of networked providers. Your recommending physician or healthcare provider will not always know this. They often unwittingly recommend a company that is not in your network and as a result, leave you paying an unnecessary bill.
If you want to find out your network providers, call Northwood 1-800-932-9314.
If you live in Middle Tennessee, you can call us directly to help determine your actual benefits. Pro-Tech Medical - 931-388-3766
Do you work for the Saturn/GM manufacturing plant? Are you a family member of someone who does? Are you a retiree? If the answer to any of these questions is "yes," there's a high probability your DME benefits are administered by a company called Northwood. The front of your card may say BC/BS or United Healthcare but your DME benefits are determined by a totally different company.
Why does this matter to you? Northwood has a select group of networked providers. Your recommending physician or healthcare provider will not always know this. They often unwittingly recommend a company that is not in your network and as a result, leave you paying an unnecessary bill.
If you want to find out your network providers, call Northwood 1-800-932-9314.
If you live in Middle Tennessee, you can call us directly to help determine your actual benefits. Pro-Tech Medical - 931-388-3766
Check "No Cost To You" Claims Before Buying
DON'T BELIEVE EVERYTHING YOU SEE ON TELEVISION
You see it everytime you turn on the tv. It's a commercial for a national power chair or scooter company claiming they can provide a chair "no cost to you." This can be very misleading. It often gives a false impression that it's your fault if you have to pay. To understand what they mean by "no cost to you," you need to understand you insurance benefits.
Medicare pays 80% of your DME benefits while you are responsible for the remaining 20%. If you are lucky enough to have a secondary insurance, the secondary usually pays the remaining 20%. However, some plans only pay a portion of the secondary benefit so it is wise to consult your insurance directly. When someone had Medicare primary and a secondary insurance that pays the complete 20%, this is what they mean by "no cost to you."
Another point to consider will be your deductible. If you have not met your Medicare deductible or your secondary deductible, you still might have out of pocket expenses. It's always wise to consult the billing department of the DME provider you are using to let them advise you on expected costs.
Hope this helps!
You see it everytime you turn on the tv. It's a commercial for a national power chair or scooter company claiming they can provide a chair "no cost to you." This can be very misleading. It often gives a false impression that it's your fault if you have to pay. To understand what they mean by "no cost to you," you need to understand you insurance benefits.
Medicare pays 80% of your DME benefits while you are responsible for the remaining 20%. If you are lucky enough to have a secondary insurance, the secondary usually pays the remaining 20%. However, some plans only pay a portion of the secondary benefit so it is wise to consult your insurance directly. When someone had Medicare primary and a secondary insurance that pays the complete 20%, this is what they mean by "no cost to you."
Another point to consider will be your deductible. If you have not met your Medicare deductible or your secondary deductible, you still might have out of pocket expenses. It's always wise to consult the billing department of the DME provider you are using to let them advise you on expected costs.
Hope this helps!
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