Medicare & Insurance Info

How to Contact Medicare and Various Private Insurance Companies for Explanation of Benefits or Medicare Service Notices.

INSURER TELEPHONE # WEBSITE ACCESS
E-MAIL ADDRESS
OTHER IMPORTANT INFORMATION
AETNA

Please call the 1-800 number on the back of the patient’s health insurance card. The 1-800 number varies by plan.

If Claimants do not have the member information, please call the corporate line; you will be directed to the group that handles the patient’s coverage: 1-800-US-AETNA
(1-800-872-3862)

Patients can view their EOBs through Aetna Navigator (AETNA’s member website) at www.aetnanavigator.com.

There will be no charge to provide this information.

BCBS

Call the toll free anti-fraud hotline: 1-800-482-3787.

There will be no charge to provide this information.

Instead of providing EOBs, BCBS will be creating spreadsheets for most claimants to submit during the claims process.

CIGNA

Call toll-free: 1-800-667-7145.

There will be no charge to provide this information.

GEHA

Please call Carol Arth in the Special Investigations Unit: 1-800-821-6136 Ex. 2164.

There will be no charge to provide this information.

HEALTH ALLIANCE PLAN

Call the Supervisor Hotline 1-313-664-6150.

It is answered by the call center supervisors between 8 a.m. and 8 p.m. Monday - Friday.

There will be no charge to provide this information.

HUMANA

Please call the Humana Special Investigations Unit Hotline: 1-800-614-4126.

If calling during evenings or weekends, please leave a message referencing the U.S. v Farid Fata case. Your call will be returned within 24 business hours.

Requests may be submitted via e-mail to: alusby@humana.com. Please reference U.S. v Farid Fata in the subject line.

There will be no charge to provide this information.

For individuals requesting records on behalf of members who are deceased, incapacitated, or otherwise unable to make the request themselves, Humana will need one of the following:

1. Power of Attorney (healthcare specific is preferred)

2. Consent for Release of Protected Health Information – The Form is available at: www.humana.com/about/legal/privacy/individual-privacy-rights

3. Will/Executor of Estate Order

4. Court Appointed Guardian or Conservator

5. If a family/friend calls on behalf of the member and the member is alive, Humana will accept verbal confirmation from the member that he/she permits Humana to send the information on their behalf.

MEDICARE

Medicare beneficiaries can request copies of their Medicare Summary Notices (MSNs), which is Medicare's version of an EOB statement, by calling 1-800-MEDICARE (1-800-633-4227).

There will be no charge to provide MSNs.

Please note that prescription medication coverage is handled differently. Each Medicare beneficiary selects a private insurer to cover their prescriptions (for example, BCBS, AETNA, etc.).

The private insurer is responsible for the coverage and issuing EOBs for prescription medications. Therefore, if you are seeking EOBs for prescription medications for a Medicare beneficiary, please contact the private insurer selected by the beneficiary.

PRIORITY HEALTH

Beneficiaries should call the Customer Service number on the back of their Priority Health ID Card.

There will be no charge to provide this information.

Important Dates

  • November 14, 2016
    Postmark Deadline for Claim Forms
  • November 17, 2017
    Court Hearing