Community health integration services

Medicare Coverage Information

Overview

Medicare offers community health integration services to help patients with complex health needs receive coordinated care across different healthcare settings. These services aim to improve patient outcomes by connecting medical care with community resources and support systems.

  • Supports patients with multiple chronic conditions
  • Provides care coordination between healthcare providers
  • Helps connect patients with community resources
  • Focuses on comprehensive health management
  • Aims to reduce hospital readmissions and improve overall health outcomes
  • Medicare beneficiaries with multiple chronic conditions
  • Patients requiring complex care coordination
  • Individuals with documented healthcare management needs
  • Must be enrolled in Original Medicare or certain Medicare Advantage plans
  • Typically covered under Medicare Part B
  • May require a referral from primary care physician
  • Potential copayments or coinsurance may apply
  • Exact costs can vary depending on specific services and Medicare plan
  • Must be deemed medically necessary
  • Services must be provided by qualified healthcare professionals
  • Coverage may be limited to specific types of community health integration services
  • Requires ongoing medical documentation and assessment
  • Consult with your primary care physician about community health integration services
  • Contact Medicare at 1-800-MEDICARE for specific coverage details
  • Review your current Medicare plan's specific coverage provisions
  • Request a comprehensive care assessment from your healthcare provider
Last updated: 6/15/2025

Quick Information

Provider
Medicare
Last Updated
6/15/2025
Topics
Medicarecommunity health integrationchronic care managementhealthcare coordinationpatient support services

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