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SENIOR ISSUES… GeorgiaCares

What is Medicare Summary Notice (MSN)

Medicare Summary Notice (MSN)
It’s not a bill.  It’s a notice that people with Original Medicare get in the mail every 3 months for their Medicare Part A and Part B covered services.
The MSN shows all your services or supplies that providers and suppliers billed to Medicare during the 3-month period, what Medicare paid, and the maximum amount you may owe the provider.

You’ll get your MSN every 3 months if you get any services or medical supplies during that 3-month period.  If you don’t get any services or medical supplies during that 3-month period you won’t get an MSN for that particular 3-month period.

If you don’t want to wait for your MSN, you can access your Original Medicare claims at MyMedicare,gov.  You’ll usually be able to see a claim within 24 hours after Medicare processes it. You can also use the Blue Button feature to help keep track of your personal health records.

 

What should I do if I get this notice?

• If you have other insurance, check to see if it covers anything that Medicare didn’t
• Keep your receipts and bills, and compare them to your MSN to be sure you got all the services, supplies, or equipment listed.
• If you paid a bill before you got your notice, compare your MSN with the bill to make sure you paid the right amount for your services.
• If an item or service is denied, call your doctor’s or other health care provider’s office to make sure they submitted the correct information.  If not, the office may resubmit.  If you disagree with any decision made, you may file an appeal.  On the new MSN design, the last page of the MSN gives you step-by-step directions on when and hoe to file an appeal.

If you need to change your address on your  notice, call Social Security at 1-800-772-1213 or if you receive Railroad Retirement Benefits call 1-877-772-5772.
Protect yourself from errors, fraud, and abuse

Protecting your personal information is the best line of defense in the fight against health care fraud, and abuse.  Medicare and Medicaid lose billions of dollars each year to scam artists.  You can make a difference.

• Don’t give your Medicare, Medicaid, or Social Security numbers to strangers.
• Remember that Medicare does not call or visit to sell you anything.
• Keep records of your doctor visits, tests, and procedures in a personal healthcare journal calendar.
• Review and save your Medicare Summary Notices and Part D Explanation of Benefits with your healthcare journal and ensure they are accurate.

     For more information on Medicare Summary Notices and Medicare Fraud, visit www.medicare.gov  and www.stopmedicarefraud.gov or contact GeorgiaCares at 1-866-552-4464, option 4, www.mygeorgiacares.org, and www.facebook.com/GeorgiaCares.

 

Issue Month: 
Thursday, July 2, 2015