How Do I Get A Replacement Card
You can get a replacement Medicare card on the Social Security website, at SSA.gov. Once youre logged into your account, select the Replacement Documents tab. Then you will have the option to select Mail my replacement Medicare Card.
You can expect your replacement Medicare card to arrive in the mail in about 30 days.
Be sure that your current address is correct in your Social Security account before requesting a replacement card, as your card will be sent to the address that you have on file.
If you prefer not to use an online services, you can call 1-800-MEDICARE to request a replacement card.
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End User Agreements for Providers
Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes.
Before you can enter the Noridian Medicare site, please read and accept an agreement to abide by the copyright rules regarding the information you find within this site. If you choose not to accept the agreement, you will return to the Noridian Medicare home page.
THE LICENSES GRANTED HEREIN ARE EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THESE AGREEMENTS. BY CLICKING ABOVE ON THE LINK LABELED “I Accept”, YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THESE AGREEMENTS.
IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE ON THE LINK LABELED “I Do Not Accept” AND EXIT FROM THIS COMPUTER SCREEN.
IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, “YOU” AND “YOUR” REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.
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What Is A Health Insurance Group Number
A group number is assigned to the employer or other group that sponsors an insurance plan for its employees or other individuals covered by the group plan. Each member of the group will share the same group number, but each person will have their own unique member number.
A group number helps identify the benefits provided by the plan and is used by health care providers in the billing process.
Group numbers are generally only used for employer-sponsored plans or other group plans. Individual plans purchased directly from an insurance carrier or through the health insurance marketplace typically do not have a group number because they are not tied to any employer or group.
Nearly all insurance plans will assign members an individual member ID number, however. The member number can be found on your insurance card and may also be referred to as a policy number.
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How Do I Find My Medicare Number If Im A New Beneficiary
New to Medicare? Your Social Security account can also provide your Medicare number online. This is true even if you havent started to receive any Social Security benefit yet.
You can also order a replacement card in your online SSA account. In your account, you will select the replacement documents tab to find this option.
It takes 30 days on average to receive your replacement card in the mail. Be sure to double-check your mailing address on file with Social Security to ensure proper delivery.
Need more help? Phone numbers and other Medicare resources
For your Medicare number, call 1-800-MEDICARE to reach the Centers for Medicare & Medicaid Services .
Your local Medicare pro is also a great resource and can help get you enrolled in Medicare.
In addition to helping you compare coverage and rates for Medicare plans like Medicare Supplement insurance or a Medicare Advantage plan we can also help you with the basics. We gather information for you, advocate on your behalf, help you fill out the correct forms, answer questions, and so much more.
How To Get A New Medicare Card
There are several ways to get a new Medicare card. If you need to replace a card because its been damaged or lost, you can sign in to your MyMedicare.gov account and print an official copy of it.
If you need to replace a card because someone unauthorized may be using your plan, call 800-633-4227 . Additional information and steps for how to replace your card are outlined below.
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How Do I Replace My Social Security Card
You can do so by logging into your My Social Security Account online. From your Overview page, scroll down to Social Security Card Replacement. Fill out the form and submit it online. Your new card should arrive in 7 to 12 days. You can also call Social Security at your local Social Security office. A representative there can help you find the best way to replace your Social Security card.
Enrollment In Original Medicare And The Receipt Of Your Medicare Id Card Will Be Automatic If You Meet One Of The Following Conditions
- If you are turning age 65 and receiving Social Security Insurance or Railroad Retirement Board benefits, your Medicare ID card will arrive three months before your 65th birthday. Coverage usually begins the first day of your birthday month. If your birthday is on the first day of the month, coverage usually starts the month prior.
- If you are under age 65 and have received Social Security disability benefits for 24 months, your Medicare ID card will arrive during the 25th month you have been receiving disability benefits. Coverage starts at the beginning of the 25th month you have been receiving disability benefits.
- If you have Lou Gehrigs disease and begin receiving your Social Security disability benefits, you will receive your Medicare ID card the first month your disability begins. Coverage also starts the first month your disability benefits begin.
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What Is My Medicare Group Number
- Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. If you only have Original Medicare, you dont have a group number, but your 11-digit Medicare number is on your red, white and blue Medicare card.
You might look at your Medicare card and wonder where your group number is. Your red, white and blue card for Original Medicare does not include a group number.
Original Medicare is not a group policy, therefore there is no group in which to belong. Instead, you will see an 11-digit alphanumeric on your card which is used to identify you and file claims under your name. This is your Medicare number.
If you have a private Medicare insurance plan, however, you may potentially have a group number related to your policy, depending on your plan. You should check your insurance card for your private Medicare plan such as a Medicare Advantage plan, a Medicare Part D prescription drug plan or a Medicare Supplement plan to find your group number, if your plan assigned you one.
You can also contact your insurance company directly to find the information youre looking for.
Applying To Act For Someone Else
You need to apply to us if you want to act for someone and either:
- you dont have their power of attorney
- youre not their legal guardian or administrator.
To apply, follow these steps.
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How Can I Find My Medicare Number
You can find your Medicare number on your Medicare card. Or you can sign in to your MyMedicare.gov account to view your number. You can use this account to not only view your number but print an official copy of your card.
You can also call 1-800-MEDICARE , TTY users can call 1-877-486-2048, to get your Medicare card or number.
National Provider Identifier Standard
The National Provider Identifier is a Health Insurance Portability and Accountability Act Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier . This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.
As outlined in the Federal Regulation, The Health Insurance Portability and Accountability Act of 1996 , covered providers must also share their NPI with other providers, health plans, clearinghouses, and any entity that may need it for billing purposes.
More detailed information is available on the pages listed in the left hand column of this page.
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Where Can You Find Your Medicare Claim Number
- Your Medicare claim number, or Medicare Beneficiary Identifier is an 11-character number Medicare uses to identify you. Learn how to find your number and how to use it to file a Medicare claim or track your Medicare claim status.
On the front of your Medicare card is a number that is 11 characters long, consisting of numbers and uppercase letters. This is your Medicare claim number, also referred to as a Medicare Beneficiary Identifier .
To avoid confusion between letters and numbers, Medicare does not use the letters S, L, O, I, B or Z. So if your Medicare claim number contains an O, it is the number 0 and not the letter O.
Medicare previously used a persons Social Security number to file claims. But over the course of 2018 and 2019, Medicare issued new cards to all beneficiaries with a randomly assigned number that is unique to each person. This was done to help protect the personal identifying information of Medicare beneficiaries and to help minimize identity theft and other forms of fraud.
Should I Wait For My Replacement Card Before Going To The Doctor
You dont have to wait for your new Medicare insurance card. Your health care provider may already have your information on file if youve been there before. Your health care provider may be able to help you look up your Medicare number.And dont forget that you can print a temporary card from your MyMedicare.gov account.
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How To Replace Your Medicare Card
If you lost your Medicare card, have no fear. You havent lost your health insurance, and replacing your card is easy.
You can order your new card online by logging into your Social Security account. Simply visit the Social Security website, SSA.gov. Once youve logged in:
Be sure to verify your mailing address before you send the card. You can also print an official copy of your Medicare card to use while you wait.
If you want to speak to a person, you can call in your request. Call phone number 1-800-MEDICARE or TTY users can call 1-877-486-2048. Follow the prompts when you call. The typical wait time is very short. And the customer service representatives are helpful and courteous.
Finally, if you want to order your card in person, you can. Youll need to go to your local Social Security Administration office. Most are open Monday through Friday.
Status Of Medicare Advantage And Part D
A Medicare Advantage, or Part C, plan is administered by a private health insurance company that contracts with Medicare.
You can check the status of a Medicare Advantage plan application by contacting the private insurer who administers your plan.
A Medicare Part D plan provides prescription drug coverage. Like Medicare Advantage, Part D plans are administered by private insurance companies.
To check your application status, contact the member services department of your Part D plan for more information.
You can also ask your pharmacy to check the status of your Part D enrollment by sending a test claim to the company.
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Write Your Insurance Company
You can get in touch with your insurance company by writing a letter to request a new insurance card. Here are the mailing addresses for some of the most common Medicare Advantage companies:
- Aetna: Aetna Inc., P.O. Box 14088, Lexington, KY 40512
- BlueCross BlueShield: You must contact member services online or by phone.
- Cigna: Cigna Corporate Headquarters, 900 Cottage Grove Road, Bloomfield, CT 06002
- Kaiser Permanente: Kaiser Permanente has several locations around the country. You can find addresses for each area here.
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Provider Transaction Access Number
A PTAN is a Medicare-only number issued to providers by Medicare Administrative Contractors upon enrollment to Medicare. MACs issue an approval/notification letter, including PTAN information, when an enrollment is approved.
PTAN and NPI RelationshipWhile only the National Provider Identifier is submitted on claims, the PTAN is a critical number directly linked to a provider or supplier’s NPI. A PTAN’s use should generally be limited to a provider’s communication with their MAC.
Multiple PTANs for Different Practice Locations May be AppropriateNoridian may determine and issue more than one PTAN depending only upon the reasonable charge locality of your practice locations. Unless the reasonable charge locality changes, additional PTANs will not be assigned.
Provider Not Eligible for a Medicare PTANRequests for a “denial only letter” are no longer accepted. Providers that are not eligible for a Medicare number must have the beneficiary submit the CMS-1490S form.
Inactive PTANs are DeactivatedMedicare is mandated by CMS to deactivate PTANs not being used. The deactivation process occurs every month. A provider’s PTAN is deactivated when he or she has not billed the Medicare program for four consecutive quarters. A PTAN is given an end-date when it is deactivated, meaning claims can get submitted prior to the end-date within a year of the service date.
Find my PTANThere are two options to find a provider PTAN.
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How Do You Keep Your Card And Information Safe
If you dont want to carry the card with you when youre not going to the doctor, you should keep it in a safe place at home, such as a locked desk drawer or a fireproof safe.
Be sure to put it back in the same place every time once youre done using it. If you forget where you put it, you may need to get a replacement card.
Before 2018, Medicare cards used a subscribers Social Security number as their ID, which led to problems of identity theft. Now that your Medicare number is no longer your SSN, its less risky to lose the card. Nonetheless, you should still be careful about giving out your Medicare number to anyone other than a doctor, pharmacist, insurer or other healthcare professional. Protect it as you do your credit cards, since con artists are always trying to get Medicare beneficiaries personal information.8
If You Do Not Qualify For Automatic Enrollment Youll Get Your Medicare Id Card Once You Complete Enrolling In Original Medicare Youll Need To Enroll Yourself If Any Of The Below Are True For You
- If you are turning 65 and are not receiving Social Security or Railroad Retirement Board benefits. Coverage usually begins the first day of your birthday month. If your birthday is on the first day of the month, coverage usually starts the month prior.
- If you have End-Stage Renal Disease Permanent kidney failure requiring dialysis or a kidney transplant., you will receive your Medicare ID card once you complete your Original Medicare enrollment. Coverage starts the first month your disability begins.
- If you live in Puerto Rico and receive social security benefits from Railroad Retirement Benefits, you are automatically eligible for Part A. If you also want Part B, you need to apply for it. You will receive your new Medicare ID card once you complete your Part B enrollment. Fill out this Application for Enrollment in Part B.
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Other Ways To Obtain A Medicaid Provider Number
The Centers for Medicare & Medicaid Services has 10 regional offices in different cities and states 2. Atlanta, Chicago and New York are just a few to mention. If you want to enroll in the Medicare provider services program in person, go to the nearest regional office.
Any questions related to the enrollment process and other services can be communicated by phone 2. For example, if you have general questions about the program, you may call 800-633-4227, the Medicaid phone number. Another option is to access CMS.gov, select Contacts Database and search for a Medicaid office for a Medicaid customer service representative in your area.
Health care professionals can also fill out and mail their enrollment forms and all supporting documentation to a local Medicare administrative contractor servicing their state. Signatures must be handwritten. The application forms are available on the CMS.gov website under the Enrollment Applications section.
- The Centers for Medicare & Medicaid Services has 10 regional offices in different cities and states 2.
- Health care professionals can also fill out and mail their enrollment forms and all supporting documentation to a local Medicare administrative contractor servicing their state.