We have partnered with Medicare on a new initiative called Direct Contracting Entity (DCE) where health care providers who share common goals aimed at improving patient care can work together more effectively
Beneficiary Eligibility Criteria
- Enrolled in both Medicare Parts A and B
- Not enrolled in an MA, Medicare Cost, PACE, or other Medicare health plan
- Have Medicare as the primary payer
- Are United States residents
- Reside in a county included in the DCE’s service area.
Are you trying to sell me something? What does this cost me?
No, we are not selling anything. There is no additional cost to you as a result of your health care provider’s participation in Excelera DCE and no change to your Medicare benefits. Your Medicare benefits will remain the same and you will continue to have access to any Medicare enrolled provider or supplier.
Is Medicare changing my doctor?
No. Receiving or signing the form or making a selection through MyMedicare.gov does not affect your Medicare benefits in any way. Medicare is not changing your doctor or other health care provider and you can still see any doctor or other health care provider you choose that is enrolled in Medicare. Completing the form or making a selection through MyMedicare.gov is meant to help your doctor or other health care provider better coordinate your care.
The health care provider is not listed. What should i do?
If the doctor or other health care provider listed on the form is not your main doctor or other source of care, do not sign the form. Not completing the form will not change your existing benefits and you can continue to receive your medical services from your current health care provider. However, you may speak to your doctor about Excelera DCE.
My neighbor, friend, spouse, family member, etc. and I have the same doctor. Can they sign up too? How?
Any Original Medicare beneficiary can join online here or by contacting the Excelera DCE or at their next doctor’s visit. You may share the Excelera DCE information with your neighbor, friend, spouse, family member, etc. if they are interested.
How can I change my decision after I’ve completed the form?
If after completing the form, you change your mind about whether the doctor or group practice listed on the form is the main place you receive care, you can contact the Excelera DCE using the phone number to reverse your previous decision. You may also indicate your main source of care through MyMedicare.gov. This designation would take precedence over the form you completed.
Can I still see my specialist at another group practice and can I still go to my preferred hospital?
You will still have the right to receive care from any doctor, hospital, or other health care provider that is enrolled in Medicare. Your health care providers will continue to recommend specialists and hospitals for your specific health needs. One of the goals of this initiative is to improve coordination of care, which Excelera DCE is best able to do when the beneficiaries receiving care from a doctor or group practice associated with Excelera DCE.
What does this mean for my care while I am in a location other than my area of residence?
You will still have the right to receive care from any doctor, or hospital, or other health care provider that is enrolled in Medicare.
What does the DCE/GDPC do with my health information?
The only information that Medicare will send to the DCE is from the bills that it received for your care in the past three years and going forward. This does not include doctors’ notes or images.
Those who are involved in your treatment will see your information to identify risks for hospital admission, to enroll you, if needed, in a care management program or to reach out to you for screenings, vaccinations, or health education.