Plan Library - Medicare

Anesthesia Monitored – Senior Plans
Guidelines for monitored anesthesia services under senior plans, including coverage, billing considerations, and reimbursement requirements.
Chronic Care Management (CCM) Services - Medicare Advantage
Learn about HMSA Chronic Care Management (CCM) services for Medicare Advantage, including CMS coverage and reimbursement for managing chronic conditions.
Diabetes Self-Management Training – Senior Plans
Guidelines for diabetes self-management training under senior plans, including coverage, eligibility, and requirements for approved education services.
HMSA Akamai Advantage®
Review HMSA Akamai Advantage Medicare plan information, including benefits, coverage options, eligibility requirements, and member resources.
HMSA Akamai Advantage® Dual Care (PPO D-SNP)
Overview of HMSA Akamai Advantage Dual Care (PPO D‑SNP), including coordinated Medicare and Medicaid benefits, eligibility, and care management support.
HMSA Akamai Advantage® Plans Clinical Research Studies (Clinical Trials) Coverage
Learn about HMSA Akamai Advantage coverage for clinical research studies and clinical trials, including eligibility, benefits, and coverage requirements. 0
HMSA Medicare Advantage Continuous Glucose Monitor
Meta Description: Learn about Medicare Advantage continuous glucose monitors (CGMs), including coverage criteria, eligibility requirements, and billing guidelines for diabetes management.
HMSA Medicare Advantage® Diabetic Test Strips
Learn about HMSA Medicare Advantage diabetic test strips, including coverage criteria, eligibility requirements, and billing guidelines for diabetes management.
Immunizations – Medicare Advantage (Part B)
Learn about Medicare Advantage Part B immunizations, including covered vaccines, eligibility, and guidelines for preventive care and billing.
Medicare Advantage Denial Notices
Medicare health plans must issue the Notice of Denial of Medical Coverage (or Payment) also known as the Integrated Denial Notice (IDN) Form CMS-10003-NDMCP when an enrollee's request for coverage is denied and when a previously authorized course of treatment has ended or been reduced.