2025 PrimeTime Health Plan Aultimate (HMO-POS)

• Provider Appeals

  Payment Appeal – A challenge or an ‘appeal’ related to benefit/payment denials by the Medicare health plan that results in zero payment being made to the non-contracted Medicare health plan provider. Examples include: Benefit Determinations Medical necessity issues Coverage issues related to nation and/or local coverage determination policies Claims Payment Dispute – Any decision…

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• Home

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• Clobestasol Drug Recall Medicare Prescription Drug Coverage

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• Prescription Drug Coverage Determinations Grievances or Appeals Information

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• 2023 Rx H3664 CovDeterm3 C

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• A Home Delivery Flier

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• 1.1.2023 ST Criteria for Website

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• 1.1.2025 PA Criteria for Website v8

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• learn

  Are you ready to learn more about Medicare? PrimeTime Health Plan offers Medicare Education webinars you can attend from the comfort of your home! Live Webinars: Select a date and time from the list below to attend a live webinar from your home. Once registered, you will receive an email with detailed information…

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• Family

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