Medicare Advantage HMO and PPO Members Must Receive Notice of Noncovered/Excluded Services and Member Payment Responsibility

Providers must furnish Keystone 65 HMO and Personal Choice 65^SM PPO members with written notice that noncovered/excluded services are not covered and that the member will be responsible for payment before services are provided.

For examples of noncovered/excluded services and information on payment responsibility, please refer to the January issue of Partners in Health Update^SM.