Information for Medicare Fee-For-Service beneficiaries whose doctor is participating in the Accountable Care Coalition of Southeast Wisconsin
Your doctor 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 ACO 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.
The document below is a list of popular questions and answers that explain ACOs and what it means to Medicare Fee-For-Service beneficiaries whose doctor is participating in the ACO.
Accountable Care Organizations and You: Frequently Asked Questions
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.
Register for MyMedicare.gov and Choose Your Primary Clinician
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.
Find information and a list of skilled nursing facility preferred providers