You will find clarification of Urgently Needed Care benefits in your Evidence of Coverage/Member Handbook on page 24. If you are planning to travel, please review this information before your trip so you are familiar with your coverage. In summary, Paramount Elite will pay its share of the costs in reimbursement, which means you are responsible for your copayment and any billing in excess of the local Medicare Fee Schedule.

To avoid extra cost, you should advise any provider that Paramount Elite is a Medicare Advantage plan and that it should bill Paramount Elite directly using the Medicare Fee Schedule. You can request that the facility contact the Member Services Department and select the phone option for provider if it needs information on how to submit a claim to Paramount for your services. The Member Services contact information is conveniently printed on the back your Paramount ID card.

If the facility states that you must pay for your services in advance, you should insist that you receive a detailed billing statement that clearly states that you are being charged at the local Medicare Fee Schedule. Paramount will then reimburse you for this amount minus your copayment.