NaviNet Medicare Access

Medicare information at your fingertips

Need real-time results for Medicare Access —including deductibles, copayments, and more — but don’t know where to go?

With NaviNet Medicare Access, unnecessary phone calls to Medicare IVR and tedious data reentry are issues of the past. Now provider offices on NaviNet can link directly to the Centers for Medicare & Medicaid Services (CMS) to get all the answers you need. NaviNet Medicare Access is an easy-to-use online solution that delivers robust, detailed benefits information in real-time for Medicare Parts A, B, C, and D coverage, including remaining deductibles. NaviNet Medicare Access enables you to perform real-time transactions and searches, eliminating frustrating phone calls and unproductive wait times.

NaviNet Medicare Access is the solution you need to:

Check Additional Coverage

  • Check to see if your patient has other primary or secondary coverage, such as Managed Care and Medicare Advantage plans.

Access Accurate Benefits Information

  • Access detailed eligibility and benefits information and patient payment obligations, such as remaining deductible amounts and required copays.

Save Valuable Time

  • Save valuable time by avoiding unnecessary phone calls and having to login to multiple websites.

What Providers Are Saying

“We use NaviNet Medicare Eligibility multiple times, daily! It saves a ton of time versus having to call the IVR for eligibility. Plus, you can print out eligibility for the patient’s record, if need be. A time saver, without a doubt!”

- Jessica, Medical Biller

“I really don’t know how we survived without it! We use it daily for eligibility and deductible status. Also, the “other insurance” is very important as many patients change to a Medicare Advantage plan and don’t tell us. It also verifies the patient’s address and date of birth. Thank you for offering this product on NaviNet.”

- Jill, Office Manager