Effective with dates of service on or after July 1, 2018, State of Maine employer group members have benefits available for a blood pressure cuff, HCPCS code A4670, when they have a prescription from their doctor. When obtained from an in-network durable medical equipment (DME) supplier, the claim will process at 100% of the maximum allowance. When obtained from an out-of-network DME supplier, the member will be responsible for their out-of-network cost sharing, plus balance billing (amounts above the maximum allowance).

 

Please note that a prescription is required for benefits to be available. When prescribing a blood pressure cuff for a State of Maine member, please be sure to refer to a participating DME provider to maximize the member’s benefits.



Featured In:
August 2018 Anthem Maine Provider Newsletter