Form CMS-10798 Application for Enrollment in Part B Immunosuppressive Drug Coverage

Form CMS-10798 Application for Enrollment in Part B Immunosuppressive Drug Coverage

What Is Form CMS-10798?

This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on February 1, 2023 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CMS-10798?
A: Form CMS-10798 is the application for enrollment in Part B immunosuppressive drug coverage.

Q: Who should use Form CMS-10798?
A: This form should be used by individuals who are seeking Part B immunosuppressive drug coverage.

Q: What is Part B immunosuppressive drug coverage?
A: Part B immunosuppressive drug coverage is a program that helps cover the cost of certain drugs prescribed after a solid organ transplant.

Q: When should I submit Form CMS-10798?
A: You should submit this form as soon as possible after your organ transplant.

Q: How long does it take to process Form CMS-10798?
A: The processing time can vary, but you can expect a decision within 60 days of submitting the form.

Q: What documents do I need to submit with Form CMS-10798?
A: You will need to include supporting documentation, such as the transplant center's letter of support and documentation of your transplant surgery.

Q: Can I appeal a denial of my application?
A: Yes, if your application is denied, you have the right to appeal the decision.

Q: Who can I contact for more information about Form CMS-10798?
A: You can contact the Medicare helpline at 1-800-MEDICARE for more information about Form CMS-10798.

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Form Details:

  • Released on February 1, 2023;
  • The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CMS-10798 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.

Download Form CMS-10798 Application for Enrollment in Part B Immunosuppressive Drug Coverage

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