**(a) Notice of medicare benefits** The Secretary shall prepare (in consultation with groups representing the elderly and with health insurers) and provide for distribution of a notice containing—
(1) a clear, simple explanation of the benefits available under this subchapter and the major categories of health care for which benefits are not available under this subchapter,
(2) the limitations on payment (including deductibles and coinsurance amounts) that are imposed under this subchapter, and
(3) a description of the limited benefits for long-term care services available under this subchapter and generally available under State plans approved under subchapter XIX.
Such notice shall be mailed annually to individuals entitled to benefits under part A or part B of this subchapter and when an individual applies for benefits under part A or enrolls under part B.
**(b) Medicare and medigap information** The Secretary shall provide information via a toll-free telephone number on the programs under this subchapter. The Secretary shall provide, through the toll-free telephone number 1–800–MEDICARE, for a means by which individuals seeking information about, or assistance with, such programs who phone such toll-free number are transferred (without charge) to appropriate entities for the provision of such information or assistance. Such toll-free number shall be the toll-free number listed for general information and assistance in the annual notice under subsection (a) instead of the listing of numbers of individual contractors.
**(c) Contents of notice** The notice provided under subsection (a) shall include—
(1) a statement which indicates that because errors do occur and because medicare fraud, waste, and abuse is a significant problem, beneficiaries should carefully ch
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Source location: Title 42, Chapter 7, § 1395g; chapter-007-social-security.md
Stored source content
**(a) Notice of medicare benefits** The Secretary shall prepare (in consultation with groups representing the elderly and with health insurers) and provide for distribution of a notice containing—
(1) a clear, simple explanation of the benefits available under this subchapter and the major categories of health care for which benefits are not available under this subchapter,
(2) the limitations on payment (including deductibles and coinsurance amounts) that are imposed under this subchapter, and
(3) a description of the limited benefits for long-term care services available under this subchapter and generally available under State plans approved under subchapter XIX.
Such notice shall be mailed annually to individuals entitled to benefits under part A or part B of this subchapter and when an individual applies for benefits under part A or enrolls under part B.
**(b) Medicare and medigap information** The Secretary shall provide information via a toll-free telephone number on the programs under this subchapter. The Secretary shall provide, through the toll-free telephone number 1–800–MEDICARE, for a means by which individuals seeking information about, or assistance with, such programs who phone such toll-free number are transferred (without charge) to appropriate entities for the provision of such information or assistance. Such toll-free number shall be the toll-free number listed for general information and assistance in the annual notice under subsection (a) instead of the listing of numbers of individual contractors.
**(c) Contents of notice** The notice provided under subsection (a) shall include—
(1) a statement which indicates that because errors do occur and because medicare fraud, waste, and abuse is a significant problem, beneficiaries should carefully check any explanation of benefits or itemized statement furnished pursuant to [section 1395b–7 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395b-7&num=0&edition=prelim) for accuracy and report any errors or questionable charges by calling the toll-free phone number described in paragraph (4);
(2) a statement of the beneficiary’s right to request an itemized statement for medicare items and services (as provided in [section 1395b–7(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395b–7/b&num=0&edition=prelim));
(3) a description of the program to collect information on medicare fraud and abuse established under [section 1395b–5(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395b–5/b&num=0&edition=prelim); and
(4) a toll-free telephone number maintained by the Inspector General in the Department of Health and Human Services for the receipt of complaints and information about waste, fraud, and abuse in the provision or billing of services under this subchapter.
**(d) Medicare opioid safety education** The notice provided under subsection (a) shall include—
(1) references to educational resources regarding opioid use and pain management;
(2) a description of categories of alternative, non-opioid pain management treatments covered under this subchapter; and
(3) a suggestion for the beneficiary to talk to a physician regarding opioid use and pain management.
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Federal law — U.S. Code and appendices · legal_authorities
§ 1395g. Payments to providers of services
(a) Determination of amount
The Secretary shall periodically determine the
amount which should be paid under this part to
each provider of services with respect to the
services furnished by it, and the provider of
services shall be paid, at such time or times as
the Secretary believes appropriate (but not less
often than monthly) and prior to audit or settle-
ment by the Government Accountability Office,
from the Federal Hospital Insurance Trust
Fund, the amounts so determined, with nec-
essary adjustments on account of previously
made overpayments or underpayments; except
that no such payments shall be made to any pro-
vider unless it has furnished such information as
the Secretary may request in order to determine
the amounts due such provider under this part
for the period with respect to which the
amounts are being paid or any prior period.
(b) Conditions
No payment shall be made to a provider of
services which is a hospital for or with respect
to services furnished by it for any period with
respect to which it is deemed, under section
1395x(w)(2) of this title, to have in effect an ar-
rangement with a quality improvement organi-
zation for the conduct of utilization review ac-
tivities by such organization unless such hos-
pital has paid to such organization the amount
due (as determined pursuant to such section) to
such organization for the review activities con-
ducted by it pursuant to such arrangements or
such hospital has provided assurances satisfac-
tory to the Secretary that such organization
will promptly be paid the amount so due to it
from the proceeds of the payment claimed by
the hospital. Payment under this subchapter for
utilization review activities provided by a qual-
ity imp