Medicare covers services (like lab tests, surgeries, and doctor visits) and supplies (like wheelchairs and walkers) considered health care services or supplies needed to prevent, diagnose, or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine. Two plans that may cover prescriptions are Medicare Part B and Medicare Part D.
Member Information
If you're in a Medicare Advantage Plan or other Medicare plan, you may have different rules, but your plan must give you at least the same coverage as Original Medicare. Some services may only be covered in certain settings or for patients with certain conditions.
- For information about Part B, refer to Medicare.gov's Part B page.
- For information about Part D, or drug coverage, refer to Medicare.gov's Part D page.
Provider Information
Medicare Part B and Part D drugs are not covered by Kentucky Medicaid.These claims will deny with NCPDP Error Code 41 and the supplemental message of "Submit bill to other processor or primary payer" with the additional message "Bill Medicare Part D; Other payer not cost avoided."
- Billing: contact MedImpact
- Managed Care: 800-210-7628
- Fee for Service: 877-403-6034
- Members: contact 855-459-6328
- Provider Enrollment: contact Provider Enrollment