The Provider Lookup database contains all providers with an open DC Medicaid provider number. The information regarding address and telephone for each provider is what is currently on file with the Department of Health Care Finance and may not always reflect current changes.
How do I search for a DC Medicaid provider?
The Provider Lookup database contains all providers with an open DC Medicaid provider number. The information regarding address and telephone for each provider is what is currently on file with the Department of Health Care Finance and may not always reflect current changes. To search for a Medicaid provider:
What is a DC Medicaid provider?
For those eligible for full Medicaid services, Medicaid pays healthcare providers. Providers are doctors, hospitals and pharmacies who are enrolled with DC Medicaid. Who is eligible for Medicaid?
Where can I find a doctor that accepts Medicare and Medicaid?
Where can I find a doctor that accepts Medicare and Medicaid? To find a doctor that accepts Medicare payments, you may want to visit the Centers for Medicare and Medicaid Services' Physician Compare.
How do I get health insurance in DC?
The District of Columbia offers medical coverage to income-eligible residents through Medicaid, Alliance, and DC Healthy Families programs. DHS also helps with paying for Medical Bills in the last 3 Months (Retro Medicaid).
Does dc have Medicare?
Overview of Medicare in Washington D.C. (District of Columbia) Medicare is the federal health-care program signed into law in 1965 to cover hospital and medical expenses for individuals age 65 and older.
Who takes DC Medicaid?
Individuals without dependent children (childless adults), parents/caretaker relatives, children up to age 21, and pregnant women can submit a DC Health Link application for financial assistance to pay for health coverage to be screened and determined eligible for Medicaid if all eligibility factors are met.
What provider type is DC?
It's important to know the basic differences between an MD (Medical Doctor) and a DC (Doctor of Chiropractic) so that you understand the unique role that each type of medical professional plays in helping you to maintain or regain your health. MDs and DC's are both licensed healthcare providers.
How do I find out what providers are on my network?
Call your insurance company. You can also call your insurance company to verify in-network providers. Before you call, make sure you have your policy number and plan information. This call will help your insurance company verify approved in-network providers.
Is Medicaid free in DC?
DC Healthy Families is a program that provides free health insurance to DC residents who meet certain income and U.S. citizenship or eligible immigration status to qualify for DC Medicaid.
Is CareFirst DC Medicaid?
In joining the Medicaid program, CareFirst BlueCross BlueShield (CareFirst) brings 80 plus years of experience in meeting the health care needs of its members and they serve more than 3.3 million enrollees in the DC, Virginia, and Maryland region.
What is medical DC?
Doctors holding the DC (Doctor of Chiropractic) degree may claim numerous credentials, denoted by letters placed after the doctor's name in official correspondences and business publications.
How do I find my DC Medicaid number?
You may call (202) 727-5355 to locate your nearest IMA Service Center.
What does DC mean in medical terms?
: a medical procedure in which the uterine cervix is dilated and a curette is inserted into the uterus to scrape away the endometrium (as for the diagnosis or treatment of abnormal bleeding or for surgical abortion during the early part of the second trimester of pregnancy) : dilation and curettage. DC.
How do I find out the service provider of a mobile number?
Numbers in Any Network Go to the Telephone Number Identification search website by following the link in the Resources. Type the cell number, including the area code, into the top search box. Click "Search" to see the results.
What is the difference between a preferred provider and a participating provider?
Differences Between Participating and Preferred Providers Preferred providers are in a network that receives higher reimbursement rates than participating providers. This is because preferred providers are required to meet quality standards while participating providers are not.
What is a medical provider network?
A medical provider network (MPN) is an entity or group of health care providers set up by an insurer or self-insured employer and approved by DWC's administrative director to treat workers injured on the job.
Can you use DC Medicaid in Maryland?
Can I use my Medicaid coverage in any state? A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your coverage when you're temporarily visiting another state, unless you need emergency health care.
What is DC Medicaid called?
The MAGI Medicaid groups include: Adults without Dependent Children (ages 21-64), Children (0-18), Children aged 19-20, Parent/Caretaker Relatives and Pregnant Women. By Phone: Call the Department of Human Services Economic Security Administration Public Benefits Call Center at (202) 727-5355.
How does DC Medicaid work?
DC Medicaid is a healthcare program that pays for medical services for qualified people. It helps pay for medical services for low-income and disabled people. For those eligible for full Medicaid services, Medicaid pays healthcare providers.
Does DC Medicaid cover dental?
DC Medicaid provides a comprehensive dental benefit for children and adults. Adult services are provided through our Fee-For-Service program and two cleanings per year are covered as well as all amalgams or restorative fillings.
What is DC medicaid?
DC Medicaid. DC Medicaid is a healthcare program that pays for medical services for qualified people. It helps pay for medical services for low-income and disabled people. For those eligible for full Medicaid services, Medicaid pays healthcare providers.
What are the different types of Medicare?
Medicare has four parts: 1 Hospital Insurance - helps pay for inpatient care in a hospital or skilled nursing facility (following a hospital stay), some home health care and hospice care. 2 Medical Insurance - helps pay for doctors’ services and many other medical services and supplies that are not covered by hospital insurance. 3 Medicare Advantage - plans are available in many areas. People with Medicare Parts A and B can choose to receive all of their health care services through one of these provider organizations under Part C. 4 Prescription Drug Coverage - helps pay for medications doctors prescribe for treatment.
What is Medicare Advantage?
Medicare Advantage - plans are available in many areas.
How long do you have to be a resident of the District of Columbia to qualify for medicare?
To qualify for Medicare, you must be either a United States citizen or a legal permanent resident of at least five continuous years.
What is Medicare Part A and B?
Original Medicare, Part A and Part B, covers inpatient hospital care (Medicare Part A) and physician, preventive, and medically necessary services and equipment (Part B). Original Medicare has limited coverage for your prescription medications (aside from those you may get as a hospital inpatient or outpatient).
What are the benefits of Medicare Advantage?
Some Medicare Advantage plans may cover additional benefits beyond Original Medicare, such as prescription drugs, routine vision and dental, or health wellness programs.
How to contact SSA by phone?
Online at SSA.gov. By telephone at 1-800-772-1213 (TTY users should call 1-800-325-0778), Monday through Friday, 7AM to 7PM. In person at your local SSA office. If you worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772 (TTY users call 312-751-4701), Monday through Friday, 9AM to 3:30PM.
Does the District of Columbia have Medicare?
Medicare in the District of Columbia. District of Columbia residents may have several choices when it comes to their Medicare coverage. You may opt to get your Medicare benefits through the federal arm of the program, called Original Medicare, Part A and Part B, or you may enroll in a Medicare Advantage plan (Medicare Part C) instead.
How many people are covered by Medicare in the District of Columbia?
In the District of Columbia, just under 73,000 people are covered by Original Medicare, which includes Part A coverage and Part B coverage.
What is Medicare Advantage in the District of Columbia?
Under the District of Columbia’s Medicare Advantage program, you have the option of purchasing your Medicare coverage from a private insurance company. Every company that sells Medicare Advantage Plans in the District of Columbia has been approved by Medicare and must continue meeting the Medicare requirements for as long as it participates in the program. Also known as Medicare Part C, Medicare Advantage combines Part A and Part B coverage with additional benefits, such as prescriptions and routine vision care, giving you a more complete insurance option.
What is Medicare Part A?
Original Medicare is the standard Medicare plan for older adults and younger adults who receive disability benefits. Part A covers the services you receive while admitted to an inpatient facility, including nursing care, lab tests, X-rays, and surgical procedures. Part B covers preventive care, some screening tests, and services used to diagnose and/or treat medical conditions. Each time you receive a covered service, you’ll pay a percentage of the Medicare-approved amount (coinsurance). In addition to your monthly premium, you’ll also pay a deductible for Part A and Part B.
Can you use Medicare Advantage with Medicare Part D?
Most Medicare Advantage Plans include prescription coverage, but if you choose a plan that doesn’t, you can pair Medicare Advantage with Medicare Part D to ensure you have the right level of coverage for your needs.
Can I get Medicare Advantage with Part D?
Most Medicare Advantage Plans include prescription coverage, but if you choose a plan that doesn’t, you can pair Medicare Advantage with Medicare Part D to ensure you have the right level of coverage for your needs.
Do you pay coinsurance on Medicare?
Each time you receive a covered service, you’ll pay a percentage of the Medicare-approved amount (coinsurance). In addition to your monthly premium, you’ll also pay a deductible for Part A and Part B.
Can I get Medicare in the District of Columbia?
If you don’t have any chronic health issues, you may get all the coverage you need from Original Medicare. For broader coverage that pays for additional services and providers, you may want to enroll in Medicare Advantage. Supplemental plans are also available to make prescriptions more affordable and reduce the amount you pay for Medicare deductibles, copays, and coinsurance.
What is DC medicaid?
Medicaid. DC Medicaid is a healthcare program that pays for medical services for qualified people. It helps pay for medical services for low-income and disabled people. For those eligible for full Medicaid services, Medicaid pays healthcare providers. Providers are doctors, hospitals and pharmacies who are enrolled with DC Medicaid.
How to contact the SSA?
You may call the SSA at 1-800-772-1213. Fraud: Please contact the Department of Health Care Finance at 1-877- 632-2873 if your health care provider is: performing a service that you think you may not need, or. billing for services you did not get, or. asking you to pay for a service you think Medicaid covers.
What is the number to call for Medicaid hearings?
You may call the SSA at 1-800-772-1213.
Can you choose a doctor for Medicaid?
Freedom of Choice: Most Medicaid recipients may choose the doctor or clinic they wish to use. The doctor or clinic must be willing to accept Medicaid's Payment. Other Health Insurance (Third Party Liability / TPL): You must report to the Department of Health Care Finance (DHCF) any health insurance you may have.
Do you have to take your medicaid card every time you go to get health care?
Things You Must Do to Get Health Care Services: Always remember to take your Medicaid ID card every time you go to get health services.
Does Medicaid report medical payments?
Medical payments from any source (insurance, liability coverage, Worker's Comp, employer liability, CHAMPUS, lawsuits, accidents or other) that you get for services covered by Medicaid must be reported to Medicaid.
What is Medicaid?
District of Columbia Medicaid is a joint federal/state health insurance program that provides health care coverage to low-income and/or disabled individuals and families. Medicaid covers many services, including doctor visits, hospital care, prescriptions, mental health services, transportation and many other services.
What is Alliance?
The DC Healthcare Alliance Program (“the Alliance”) is a locally-funded program designed to provide medical assistance to District residents who are not eligible for Medicaid. The Alliance program serves low-income District residents who have no other health insurance and are not eligible for either Medicaid or Medicare.
What is DC Healthy Families?
DC Healthy Families is a program that provides free health insurance to DC residents who meet certain income and U.S. citizenship or eligible immigration status to qualify for DC Medicaid. The DC Healthy Families program covers doctor visits, vision and dental care, prescription drugs, hospital stays, and transportation for appointments.
What is Retro Medicaid?
Medicaid for those in need of assistance paying for medical bills from the past 3 months. You and/or a household member must meet all eligibility requirements for Medicaid during the retroactive period to qualify for Retroactive Medicaid coverage.
Types of Medicare Coverage in The District of Columbia
- Original Medicare, Part A and Part B, covers inpatient hospital care (Medicare Part A) and physician, preventive, and medically necessary services and equipment (Part B). Original Medicare has limi...
- Medicare Advantage plans(Part C) are offered through private Medicare-approved insurance companies as opposed to the federal government. Medicare Advantage plans must offer at l…
- Original Medicare, Part A and Part B, covers inpatient hospital care (Medicare Part A) and physician, preventive, and medically necessary services and equipment (Part B). Original Medicare has limi...
- Medicare Advantage plans(Part C) are offered through private Medicare-approved insurance companies as opposed to the federal government. Medicare Advantage plans must offer at least the same amount...
- Medicare Part Dis optional prescription drug coverage. It’s available as a stand-alone plan that works alongside Original Medicare, Part A and/or Part B. If you have a Medicare Advantage plan, you...
- Medicare Supplement insurance(Medigap) gives District of Columbia residents who are enrol…
Local Resources For Medicare in The District of Columbia
- Medicare Savings Programs in the District of Columbia:Residents in the District of Columbia with limited income may be able to get help with Medicare costs through Medicare Savings Programs. These...
- District of Columbia State Health Insurance Counseling and Assistance Program (SHIP): The Health Insurance Counseling Project(HICP) provides free health insurance information, educ…
- Medicare Savings Programs in the District of Columbia:Residents in the District of Columbia with limited income may be able to get help with Medicare costs through Medicare Savings Programs. These...
- District of Columbia State Health Insurance Counseling and Assistance Program (SHIP): The Health Insurance Counseling Project(HICP) provides free health insurance information, education, and counse...
How to Apply For Medicare in The District of Columbia
- Applying for Medicare works the same way in the District of Columbia as it does in the rest of the United States. To qualify for Medicare, you must be either a United States citizen or a legal permanent resident of at least five continuous years. If you receive Social Security Administration (SSA) or Railroad Retirement Board (RRB) benefits, you may be automatically enrolled at age 65…