Evidence of Coverage Errata Sheet - Mercy Care Plan
Evidence of Coverage Errata Sheet - Mercy Care Plan
Evidence of Coverage Errata Sheet - Mercy Care Plan
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On page 15, <strong>of</strong> Chapter 2, underthe section titled “How to contactus when you are making anappeal about your Part Dprescription drugs,” the title <strong>of</strong>the first table is incorrect.Incorrect Title: <strong>Coverage</strong>Decisions for Medical <strong>Care</strong>Correct Title: Appeals forPart D Prescription DrugsOn page 36, <strong>of</strong> Chapter 4, the“Section 1.3 header is printedtwice on the page.On page 38, <strong>of</strong> Chapter 4, in theBenefits chart, under “Servicesthat are Covered for You,” the“Annual Wellness Visit” benefitinformation is missing.Duplicated text: “Section1.3 What is the most youwill pay for Medicare PartA and Part B coveredmedical services?”Missing “Annual WellnessVisit” benefit information.This section should haveonly printed once on page36.Annual Wellness VisitServices that are covered foryou:If you’ve had Part B forlonger than 12 months, youcan get an annual wellnessvisit to develop or update apersonalized prevention planbased on your current healthand risk factors. This iscovered once every 12months.Note: Your first annualwellness visit can’t takeplace within 12 months <strong>of</strong>your “Welcome toMedicare” preventive visit.However, you don’t need tohave had a “Welcome toMedicare” visit to becovered for annual wellnessvisits after you’ve had Part Bfor 12 months.What you must pay whenyou get these services:There is no coinsurance,copayment, or deductible forthe annual wellness visit.