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¿Cuáles son mis costos compartidos para mi próximo procedimiento quirúrgico para paciente ambulatorio?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 17:58

Puede ver los detalles sobre sus costos compartidos para procedimientos quirúrgicos para pacientes ambulatorios en la pestaña Costos .

También puede usar nuestra herramienta Calculadora de costos para ayudar a planificar cualquier gasto.

FAQs for Outpatient surgery

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 17:56

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What are my benefits for outpatient surgery?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 17:56

Your benefits for outpatient surgery can be found by clicking on the Benefit Description tab.

Do I need a referral or authorization for an upcoming surgical procedure?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 17:57

Some outpatient surgical procedures may require prior authorization. Please check with your provider or call Member Service at the number on your ID card.

What is my cost share for my upcoming outpatient surgical procedure?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 17:58

Your cost share details for outpatient surgical procedures can be found by clicking on the Costs tab .

You can also use our Cost Estimator Tool to help plan for any expenses.

Benefit Category

Outpatient surgery

Does my plan cover a glucometer?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 18:00

Your plan comes with more features and health benefits than you might realize. Like a OneTouch®″ glucose monitor at no additional cost. Click to learn more about ordering a glucose monitor.

¿Cubre mi plan un glucómetro?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 18:00

Su plan incluye más servicios y beneficios de salud de los que podría imaginar. Como un monitor de glucosa OneTouch®" sin costo adicional. Haga clic para obtener más información sobre cómo solicitar un monitor de glucosa.

Do I need a prescription to be covered for durable medical equipment (DME)? Do I need an authorization for my equipment to be covered?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 18:00

Your durable medical equipment benefit is available with a letter of medical necessity. To review your individualized plan benefits, click the Benefit Description tab.

¿Necesito una receta para tener cobertura en equipo médico duradero (DME)? ¿Necesito una autorización para que mi equipo tenga cobertura?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 18:00

Su beneficio en equipo médico duradero se pondrá a disposición mediante una carta de necesidad médica. Para ver los beneficios de su plan individual, haga clic en la pestaña Descripción de beneficios.

What durable medical equipment (DME) providers are in my network?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 18:01

Use our Find a Doctor & Estimate Costs tool to find durable medical equipment providers in your network. Log in, or enter your network and zip code and then select "All Specialties" in the search bar. Under "D" you will see options for DME providers.

¿Qué proveedores de equipo médico duradero (DME) se encuentran en mi red?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 18:01

Use nuestra herramienta Buscar un Médico y Calcular Costos para encontrar proveedores de equipos médicos duraderos en su red. Entre, o ingrese su red y código postal y luego seleccione "Todas las especialidades" en la barra de búsqueda. Debajo de la letra "D", usted podrá ver opciones de proveedores de DME.

FAQs for Durable Medical Equipment

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 17:59

ADD FAQs

Does my plan cover a glucometer?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 18:00

Your plan comes with more features and health benefits than you might realize. Like a OneTouch®″ glucose monitor at no additional cost. Click to learn more about ordering a glucose monitor.

Do I need a prescription to be covered for durable medical equipment (DME)? Do I need an authorization for my equipment to be covered?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 18:00

Your durable medical equipment benefit is available with a letter of medical necessity. To review your individualized plan benefits, click the Benefit Description tab.

What durable medical equipment (DME) providers are in my network?

Member for

3 years 10 months

Submitted by Linda.SimmonsBarrows on Fri, 08/13/2021 - 18:01

Benefit Category

Durable Medical Equipment

Keywords

breast pump, cpap, sleep apnea, occupational therapy, novolog, orthopedic, physical therapy, PT, podiatrist, "Sleep study***
Sleep, Sleep Apnea, surgery, orthotics, emergency room, ER visit, emergency department,
Sleep disorder,
CPAP, BPAP, DPAP*", hearing, hearing aid, hearing aid coverage, hearing aids, insulin, "Diabetes,
Continuous Glucose Monitor
Insulin Pump
Dexcom", lantus, omnipod,

13151

Member for

7 years 10 months

Submitted by Site Factory admin on Mon, 09/13/2021 - 13:22

Nota: El copago dentro de la red del miembro no se aplica a cirugías cubiertas por Medicare realizadas por un especialista de la red cuando se llevan a cabo en el hogar del miembro.