Though pricing for Humanas standard Plan G is inferior to other providers, we found the company offers the lowest average premium for high-deductible Plan G. The insurer also provides several discounts, including a 6% online enrollment discount in most states, a household discount for living with another adult, and an electronic payments discount. 888.912.4767; About Us; Products. Medical expenses - After you pay the Part B deductible, the plan you choose will cover the Part B coinsurance (generally 20% of Medicare approved expenses) or copayments for hospital outpatient services. Webinars available for Adverse Childhood Experiences (ACEs) training and additional areas to support your work with CalAIM and other special populations. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. The views and/or positions presented in the material do not necessarily represent the views of the AHA. On November 18, 2021, all business migrated to one portal. xmp.did:B7EDCC2CE020E511B12BA5D0C5FAF883 on this web site. hbbd```b``: "I? There are 6 companies that go by the name of Southern Guaranty Insurance Company. Our rates and commissions are extremely competitive, and our staff of . This revision is not a restriction to the coverage determination; and, therefore not all the fields included on the LCD are applicable as noted in this policy. The following diagnostic criteria are adopted by this A/B MAC from Simons.3 Major criteria. such information, product, or processes will not infringe on privately owned rights. %PDF-1.5 % What Is Medicare Supplement Insurance? If you click on links we provide, we may receive compensation. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, Medicaid Claims Inquiry Eligibility Inquiry If you experience technical difficulties or need assistance please call us at 866-851-0284. Business Profile Southern Guaranty Insurance Company Insurance Companies Multi Location Business Find locations Contact Information 13600 Icot Blvd Bldg A Clearwater, FL 33760-3703 Get. Box 14770 Lexington, KY 40512, HEALTH CARE PROFESSIONALS, PHYSICIANS, PROVIDERS, ~Aetna Health and Life Insurance Company (Medicare Supplement), ~American Continental Insurance Company (all products), ~Continental Life Insurance Company of Brentwood, Tennessee (all products), ~Aetna Life Insurance Company (Medicare Supplement), ~Genworth Life and Annuity Insurance Company (Medicare Supplement), ~Genworth Life Insurance Company (Medicare Supplement). And if you need prescription drug coverage, Humanas Part D plans are highly rated and widely available. With over 25 years of insurance experience, the folks at Southern Guard Insurance provided coverage to all Floridians from the Florida Keys to the Pan handle and everywhere in between. You will find them in the Billing & Coding Articles. Franklin, TN 37067, For the claim submission process, refer to Claim Submission Guide, Aetna Senior Supplemental Insurance P.O. PDF Carriers With Approved Individual Medicare Supplement Policies in Maryland If you have a question about your policy, you can use the contact information below (based on the underwriting company of your policy). After making the diagnosis of myofascial pain syndrome and identifying the trigger point responsible for it, the treatment options are: The CPT codes for trigger point injections use the phrase "muscle group(s)". For the purpose of this policy, this A/B MAC defines "muscle group" as a group of muscles that are contiguous and that share a common function, e.g., flexion, stabilization or extension of a joint. This page displays your requested Local Coverage Determination (LCD). Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. SGIA currently serves thousands of individuals with their Medicare health plan needs. copied without the express written consent of the AHA. Diagnostic evaluation to clearly identify the primary cause, if possible. Review the article, in particular the Coding Information section. GSL is authorized to conduct health insurance business in the District of Columbia and all states except NJ, NY, and VT. SE Suite 102Rio Rancho, NM 87124. The views and/or positions special, incidental, or consequential damages arising out of the use of such information, product, or process. Box 925989, Houston, Texas 77292-5989 In addition, the company offers extended customer service with weekend hours and live chat support, in addition to a 24/7 nurse advice line for medical questions. We are contracted with all major health insurance plans. Our experts will navigate the enrollment process for you. F, G & J Deductible Announcements., By Tanya Feke, MD The American Board of Internal Medicine (ABIM) Foundation encourages practitioners and patients to "Choose Wisely." Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). For this supplementary claims processing information we rely on other CMS publications, namely Change Requests (CR) Transmittals and inclusions in the Medicare Fee-For-Service Claims Processing Manual (CPM). Plus, theres an opportunity for substantial new enrollment discounts. For the most part, codes are no longer included in the LCD (policy). Claim will automatically crossover from Medicare. End Users do not act for or on behalf of the CMS. If you meet the specific criteria for acupuncture services, Plan G will cover your 20% coinsurance amount. Wz. "Dry needling" of trigger points is a non-covered procedure since it is considered unproven and investigational.Screening diagnoses will be denied as routine services.Compliance with the provisions in this policy is subject to monitoring by post payment data analysis and subsequent medical review. You will need Adobe Reader to open PDFs on this site. Giving back is not just the right thing to do, it is the responsibility we all share to make our world as compassionate, safe, clean, and friendly as possible. Try entering any of this type of information provided in your denial letter. . Our specialty is the way we value each person we assist before, during, and after enrollment. 7500 Security Boulevard, Baltimore, MD 21244, Find a Medicare Supplement Insurance (Medigap) policy, Sign up for Medicare Part A and/or Part B, Apply for Extra Help with Medicare drug costs, Find Medicare Savings Programs that can lower your Medicare costs, Get information about how to apply for Medicaid, Check if youre eligible for other state programs that can help with health-related costs. To enroll in a low-cost plan from UnitedHealthcare, you must be an AARP member. ASP | Providers LCDs outline how the contractor will review claims to ensure that the services provided meet Medicare coverage requirements. Lowest Cost High-Deductible Plan G: Humana. It helps pay your health care costs that Medicare does not pay, including copayments, coinsurance and deductibles. There are multiple ways to create a PDF of a document that you are currently viewing. Phone: 800 264.4000 Address: 800 Crescent Centre Drive, Suite 200 Franklin, TN 37067 Click Become An Agent if you are interested in taking advantage of our sales opportunities HEALTH CARE PROFESSIONALS, PHYSICIANS, PROVIDERS For the claim submission process, refer to Claim Submission Guide be sure to use the appropriate address listed below. Look for a Billing and Coding Article in the results and open it. According to Bloomberg, 20% of those 65 and up havent retired because they dont have enough money. Mutual of Omaha stands out because the company offers a widely available high-deductible Plan G, has excellent pricing, and high financial strength ratings. Please visit the, Medical management, which may include consultation with a specialist in pain medicine. The guidelines for LCD development are provided in Chapter 13 of the Medicare Program Integrity Manual. If you are a Medicare Supplement policyholder, please call 1.877.212.2346 to service your policy. Please call your agent/producer or our SGIC Medicare Supplement Insurance Customer Service at 833-552-0828 for complete details of coverage and cost. Nadia Baloch is a fact-checker, researcher, and writer with a background in psychology. End User Point and Click Amendment: The contractor information can be found at the top of the document in the, Please use the Reset Search Data function, found in the top menu under the Settings (gear) icon. authorized with an express license from the American Hospital Association. descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work xmp.iid:7d1afbf1-7373-fb4c-b6ff-7a139b749ec7 Innovative insurance products that can be customized to fit your lifestyle, your budget, and your health needs, Superior, responsive 24x7 services available on any device or platform you desire, with access to real, live, knowledgeable customer service representatives who answer the phone when you call, A technology platform that simplifies the process of applying for, enrolling in, and maintaining your insurance policieson your computer, your phone, and your tablet. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. Aetna Health Insurance Company (Medicare Supplement) 1-800-264-4000 Hours: Monday through Friday, 7 AM to 7 PM CT Aetna Life Insurance Company (Medicare Supplement) 1-888-624-6290 Hours: Monday through Friday, 7 AM to 7 PM CT Coventry Health and Life Insurance Company (Medicare Supplement) CMS and its products and services are