Do Medicare SNPs Cover Services that Medicare Doesn’t Consider Medically Necessary?
Medicare SNPs generally don’t cover the costs of services that aren’t considered medically necessary under Medicare. If you need a service that the Medicare SNP decides isn’t medically necessary, you may have to pay all the costs of the service. However, you have the right to appeal the plan’s decision.Extra Help for People with Limited Income and ResourcesAll Medicare SNPs include Medicare prescription drug coverage (Part D). Usually, you pay a copayment for your prescriptions. If you have limited income and resources, you may be able to get Extra Help paying your prescription drug coverage costs. People who qualify may be able to get their prescriptions filled and pay little or nothing out of pocket. There is no cost or obligation to apply for Extra Help, so anyone who thinks they might qualify should apply. You can apply for Extra Help at any time.To apply for Extra Help paying for Medicare prescription drug coverage, call Social Security at 1-800-772-1213, or visit www.socialsecuri
