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Medicare Advantage Outreach and Education Bulletin August 2010 To: All Medicare Advantage (MA) Physicians and Practitioners *Contracting physicians and practitioners should follow their contracts
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How to fill out Medicare Advantage - Empire:

01
Obtain the necessary forms: To fill out Medicare Advantage - Empire, you need to start by obtaining the required forms. These forms can usually be found on the Empire Medicare website or by contacting their customer service.
02
Personal Information: Begin by providing your personal information accurately. This includes your name, address, date of birth, and contact information. Make sure to double-check the information for any errors before proceeding.
03
Medicare Information: Fill out the section related to your Medicare information. This includes your Medicare number, enrollment date, and any other pertinent details. Ensure that all the information you provide matches the details on your Medicare card.
04
Healthcare Plan Selection: Choose the Medicare Advantage plan offered by Empire that best suits your needs. Review the available options carefully and select the plan that covers the doctors, hospitals, and prescription drugs that you require. Make sure to consider factors such as premiums, deductibles, and out-of-pocket costs while making your decision.
05
Additional Coverage: If you require any additional coverage beyond the basic Medicare benefits, specify your choices in this section. This may include prescription drug coverage, dental, vision, or hearing benefits. Review the available options and select the additional coverage that aligns with your healthcare needs.
06
Review and Submit: Carefully review all the information you have provided to ensure its accuracy. Verify that you have completed all the required sections and that there are no missing details. Once you are satisfied, sign and date the form and submit it as per the instructions provided.

Who needs Medicare Advantage - Empire?

01
Individuals with Medicare: Medicare Advantage - Empire is designed for individuals who already have Medicare coverage. If you have enrolled in Original Medicare (Part A and Part B), you are eligible to consider a Medicare Advantage plan offered by Empire.
02
Those seeking additional benefits: Medicare Advantage - Empire provides additional benefits beyond what is covered by Original Medicare. If you are looking for extra coverage, such as prescription drugs, dental, vision, or hearing benefits, a Medicare Advantage plan may be suitable for you.
03
Individuals who prefer an all-in-one plan: Medicare Advantage plans combine all your healthcare coverage into a single plan. This means you have one card, one point of contact, and one plan for your hospital, medical, and often prescription drug coverage. If you prefer the convenience of an all-in-one plan, Medicare Advantage - Empire may be a good fit for you.
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Medicare Advantage - Empire is a type of health insurance plan offered through the Empire Health Insurance Company that provides Medicare benefits through a private insurer.
Healthcare providers who participate in the Medicare Advantage - Empire plan are required to file claims with the insurance company.
Providers can fill out Medicare Advantage - Empire claims online through the insurer's website or by submitting paper claims through the mail.
The purpose of Medicare Advantage - Empire is to provide additional coverage and benefits beyond what is offered through original Medicare.
Providers must report patient demographics, services provided, diagnosis codes, and any other information required by the insurance company.
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