Tidewater physicians multispec how to#

If you have an emergency, our plan will talk with the doctors who are giving you emergency care to help manage and follow up on your care. You don t need to get approval first from Medstar Medicare Choice or your doctor. You may get covered emergency medical care whenever you need it from the nearest hospital or provider, anywhere in the world. A medical emergency includes severe pain, a bad injury, a sudden illness, or a medical condition that is quickly getting much worse. Box 1200, Pittsburgh, PA What is a medical emergency and what is covered? A medical emergency is when you believe that your health is in serious danger. Or, you can mail your claim to: Medstar Medicare Choice, P.O. Our contact information appears on the front and back cover pages.

Tidewater physicians multispec how to#

If you have any questions about how to submit a paper claim, please contact us. We will pay your doctor or reimburse you for our share of the bill and will let you know what, if anything, you must pay (e.g., copayments, coinsurance or deductible). If an out-of-network provider sends you a bill, please call Member Services or send the bill to us for payment. How to submit a paper claim Medstar Medicare Choice network providers bill us directly for Medicare-covered medical services that you receive. In some cases, you may get covered services from non-network providers, such as for emergency, urgent care, or out-of-area renal dialysis. You may go to any of our network providers listed in this directory. The network providers listed in this directory have agreed to provide you with your health care, dental, vision, and fitness services. Referrals are not required with Medstar Medicare Choice, but your PCP should be your primary resource to use when seeking specialist and hospital care and coordination of your medical services. This includes your x-rays, laboratory tests, therapies, care from doctors who are specialists, hospital admissions, and follow-up care. Besides providing much of your care, your PCP will help arrange or coordinate the rest of the covered services you get as a plan member. A PCP should be your first point of contact for undiagnosed health concerns or health problems and routine health care needs. Generally, you must get your health care services from your PCP. The term PCP will be used throughout this directory. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Provider (PCP).

If you join Medstar Medicare Choice HMO/HMO SNP you must use network providers to obtain medical care and services. To get detailed information about your health care coverage, please see your Evidence of Coverage. 1 This directory is current as of November, 2017.ģ Table of Contents Section 1 Introduction.6 What is the service area for Medstar Medicare Choice?.7 How do you find Medstar Medicare Choice providers in your area? Section 2 List of Network Providers.9 Participating Hospitals.12 Services & Facilities.16 Primary Care Providers.42 Obstetrics & Gynecology Providers.76 Specialist Providers.84 Behavioral Health Facilities Behavioral Health Providers Routine Dental Providers Routine Vision Providers Fitness Facilities (HMO/CSNP Only) Pharmacy Directory Network Pharmacies Retail Pharmacies, including Chain Pharmacies Mail-Order Pharmacy Home Infusion Pharmacies Long-Term Care Pharmacies Specialty Pharmacies Alphabetical Index.389ĥ Section 1 Introduction This directory provides a list of Medstar Medicare Choice network providers.