NaviNet Medicare Eligibility Benefits:

  • Check if your patient has other primary coverage such as Managed Care and Medicare Advantage plans
  • Access accurate eligibility, detailed benefits information and patient payment obligation such as remaining deductible amounts and required copays
  • Save valuable time by avoiding frustrating phone calls or having to log in to multiple websites
  • Obtaining detailed eligibility and benefits information in an easy-to-read format for a variety of specialties including, but not limited to: Physical Therapy, Occupational Therapy, Skilled Nursing Facility, Hospital, Home Health, and Hospice
  • Help control potential reimbursement and cash flow concerns to reduce loss of revenue
  • Activation within 24-48 hours with a valid NPI number
  • Organizational access for an unlimited number of users.

Please submit this form to have NaviNet Medicare Eligibility pricing information sent directly to you.


"Using NaviNet Medicare Eligibility to connect to CMS has reduced the amount of time it takes to verify our patients' Medicare coverage by 50% Through NaviNet, I can quickly confirm a patient's eligibility and benefits for Medicare Parts A and B, eliminating the need to call CMS."

-Melissa Gaut, Insurance Clerk
Seton Medical Management, Inc.