Principal care management services
Medicare Coverage Information
Overview
Medicare offers principal care management services to help patients with complex chronic conditions receive coordinated, comprehensive healthcare. These services focus on managing specific health conditions through personalized care planning and ongoing support from healthcare providers.
- Designed for patients with one or more serious chronic conditions
- Provides comprehensive care coordination and management
- Involves personalized care planning by healthcare professionals
- Aims to improve patient outcomes and reduce healthcare complications
- Medicare beneficiaries with one or more complex chronic conditions
- Must have a care plan developed by a healthcare provider
- Applicable for both Original Medicare and Medicare Advantage plans
- Typically covered under Medicare Part B
- Potential copayments or coinsurance may apply
- Exact costs can vary depending on specific Medicare plan
- Must be medically necessary
- Requires documentation of chronic condition
- Services must be provided by qualified healthcare professionals
- May have frequency or duration restrictions
- Consult with your primary care physician about principal care management
- Review your specific Medicare plan's coverage details
- Contact Medicare at 1-800-MEDICARE for specific questions
- Request a comprehensive care plan assessment
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicareprincipal care managementchronic condition carehealthcare servicesMedicare coverage
Related Coverage Topics
Questions About Principal care management services?
Our experts can help you understand your Medicare coverage for principal care management services. Get personalized guidance on costs, eligibility, and next steps.