Principal illness navigation services
Medicare Coverage Information
Overview
Medicare offers Principal Illness Navigation Services to help patients with complex chronic conditions receive coordinated, personalized care support. These services aim to help patients better understand and manage their health conditions through comprehensive guidance.
- Designed for patients with serious or multiple chronic health conditions
- Provides personalized care navigation and support
- Helps patients understand their treatment options
- Assists in coordinating between different healthcare providers
- Supports patient education and self-management strategies
- Medicare beneficiaries with multiple chronic conditions
- Patients requiring complex care coordination
- Must have a qualifying medical diagnosis
- Referral from primary care physician may be required
- Specific costs may vary by Medicare plan
- Typically covered under Medicare Part B
- Potential out-of-pocket expenses depend on individual plan details
- Must be prescribed by a qualifying healthcare provider
- Services are typically limited to patients with complex chronic conditions
- Not available for all medical conditions
- Requires ongoing medical documentation
- Consult with your primary care physician about eligibility
- Contact Medicare directly at 1-800-MEDICARE for specific details
- Review your current Medicare plan's coverage
- Request a comprehensive care navigation assessment
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- MedicarePrincipal Illness NavigationChronic Disease ManagementMedicare Support ServicesPatient Care Coordination
Related Coverage Topics
Questions About Principal illness navigation services?
Our experts can help you understand your Medicare coverage for principal illness navigation services. Get personalized guidance on costs, eligibility, and next steps.