HEALTH PLANS

  • Medicare

  • Medicaid

  • Cash Pay

  • Medicare:  Targeted beneficiaries for the MTM program are enrollees who meet all of the following criteria of the Medicare Part D plan:

    1.  Have multiple chronic diseases, with three chronic diseases being the maximum number. 

      •  maximum three from the following chronic diseases :

        • ​Alzheimer’s Disease;

        • Chronic Heart Failure (CHF);

        • Diabetes; • Dyslipidemia;

        • End-Stage Renal Disease (ESRD); 

        • Hypertension;

        • Respiratory Disease (such as Asthma, Chronic Obstructive Pulmonary Disease (COPD), or Chronic Lung Disorders); 

        • Bone Disease-Arthritis (such as Osteoporosis, Osteoarthritis, or Rheumatoid Arthritis); 

        • Mental Health (such as Depression, Schizophrenia, Bipolar Disorder, or Chronic/Disabling Mental Health Conditions).

    2. ​Are taking multiple Part D drugs (8 max)

      • Are likely to incur annual costs for covered Part D drugs greater than or equal to $4,255.

QUESTIONS ABOUT YOUR BILL

What billing or insurance information will I receive?

​You will receive a copy of your bill. After your insurance has paid, we'll provide you with a monthly statement of your account.

How long will it take to get things settled with the insurance company?

Generally, it takes from 45 to 60 days to obtain payment from an insurance carrier.​​​

​I received a notice that my insurance company has paid on my bill -- but I can't understand how they calculated their payment amount. Do you know?

​If we have received any such information from your insurance company, we'll be glad to share it with you. However, for answers to any questions about insurance payments, deductibles, or co-payments, you generally need to check with your insurance company.

PAYMENT POLICY

Medical services are provided and billed by RxClinic. We participate in Medicare and Medicaid health insurance plans. Listed below are details on the health plans which we currently accept.

If your plan is not listed, we will be unable to file a claim on your behalf. However, we can provide you with a form that you can submit to your insurance company to instruct them to send reimbursements directly to you.