Information for Medicare Fee-For-Service beneficiaries whose provider is participating in the Accountable Care Coalition of Southeast Wisconsin
Your provider has chosen to participate in a Medicare Shared Savings Program Accountable Care Organization (ACO). An ACO is a group of doctors, hospitals, and other health care providers who come together voluntarily to coordinate high quality care for Medicare patients, like you, to better meet your individual needs and preferences.
Your Medicare benefits stay exactly the same whether you use a physician participating in the Accountable Care Coalition of Southeast Wisconsin or not. That means there are no changes in cost or coverage. You are not being enrolled into a Medicare Advantage or Health Maintenance Organization (HMO) plan, and this does not change your Medicare Supplement coverage. You can still choose to see any doctor or go to any hospital that accepts Medicare at any time.
Your Primary Care Physician may continue to recommend that you see particular doctors for your specific health needs, but it's always your choice of what doctors you use or hospitals you visit.
For additional information on how your ACO works and making the most of getting your care from an ACO, see the beneficiary information notice below.
Select Your Primary Clinician
You are able to select your primary clinician who you believe is most accountable for your care on MyMedicare.gov. Doing so may help your provider to engage you in health care decisions, which can improve your overall care management and health outcomes. For more information, see the beneficiary fact sheet below.
Skilled Nursing Facility (SNF) 3-Day Rule Waiver
Under current Medicare law, Medicare only covers care in a skilled nursing facility if a patient has a prior three-day inpatient hospital stay. Medicare allows doctors who work with us to admit you to certain nursing homes any time you need skilled nursing care, even if you have not had a 3-day hospital stay.
For more information about Accountable Care Coalition of Southeast Wisconsin contact:
TTY users should call:
Accountable Care Coalition of Southeast Wisconsin
4888 Loop Central Dr., Suite 300
Houston, TX 77081
You may also contact your provider.