Chronic care management services
Medicare Coverage Information
Overview
Medicare offers chronic care management services for beneficiaries with multiple complex health conditions. These services provide comprehensive care coordination, helping patients manage their health more effectively through personalized support and comprehensive care planning.
- Designed for patients with two or more chronic conditions expected to last at least 12 months
- Includes comprehensive care planning and coordination between healthcare providers
- Provides 24/7 access to care management support
- Requires a care plan developed by a healthcare professional
- Aims to improve patient health outcomes and reduce hospital visits
- Medicare Part B beneficiaries
- Patients with multiple complex chronic conditions
- Patients requiring comprehensive care coordination
- Must have a care plan developed by a healthcare provider
- Typically covered under Medicare Part B
- Beneficiaries may be responsible for 20% of the Medicare-approved amount
- Annual deductible may apply before coverage begins
- Must have two or more chronic conditions
- Requires documented medical necessity
- Services must be provided by a qualified healthcare professional
- Not all chronic conditions may qualify for management services
- Consult with your primary care physician about chronic care management eligibility
- Review your specific Medicare plan's coverage details
- Call 1-800-MEDICARE for specific questions about chronic care services
- Request a comprehensive care plan assessment
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare chronic care managementMedicare complex health serviceschronic condition careMedicare care coordinationMedicare health management
Related Coverage Topics
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