Your Health

Understanding Medicare Reimbursement and Claims

How to Claim for Medicare Reimbursement

Below are general steps to claim for Medicare reimbursement:

Step 1: You receive a service from a non-participating provider and pay all the expenses.

Step 2: On behalf of you, the provider submits a bill to a Medicare Administrative Contractor within 1 year. Otherwise, you need to do it yourself.

Step 3: You will get a Medicare Summary Notice by mail every three months.

Step 4: Medicare will reimburse the Medicare-approved amount to your account. [10]