DME/P&O, Medical Suppliers and Pharmacists

Reimbursement

When treating members who use DMEnsion's network, network health care providers are reimbursed according to the DMEnsion Benefit Management-contracted amount.

Out-of-network reimbursement for Medicare Advantage

Out-of-network claims for Medicare Plus Blue PPO and Blue Cross® Medicare Private Fee for Service members will be reimbursed using the CMS reimbursement guidelines with a higher level of member cost-sharing applied.