In this guide 4 sections
If your dad wants you involved, start by setting up permission with his doctor, plan and pharmacy. Ask each organization what form or process it requires. For Medicare itself, use the federal authorization form CMS-10106.
What should you ask the doctor’s office?
Ask which authorization your dad should complete before the office discusses his information with you. Ask where to send it and how to confirm that it was added to his record.
How do you set up permission with Medicare and his plan?
- 1.For Medicare itself, have your dad complete Authorization to Disclose Personal Health Information, form CMS-10106.
- 2.Keep a copy of every completed form. Ask the organization to confirm that it received the paperwork.
- 3.If you need help contacting Medicare, call 1-800-MEDICARE. Representatives are available 24 hours a day, 7 days a week, except on some federal holidays.
What should you ask the pharmacy?
Ask the pharmacy what it needs before discussing your dad’s prescriptions with you. Have the pharmacist explain who must complete the required step and whether it must be renewed.
When is a health care proxy needed?
A durable power of attorney for health care names a health care proxy. That person can make medical decisions if your dad becomes unable to communicate his wishes. If he has no advance directive and cannot make decisions, state law determines who may act for him.
Questions families ask
Will one authorization cover the doctor, plan, pharmacy and Medicare?
Do not assume it will. Ask each organization what it requires. Medicare identifies CMS-10106 as its form for permission to discuss claims and health information.
Can I complete the paperwork for my dad?
Ask each organization who must complete and sign its form. Your dad can use CMS-10106 to give Medicare permission to speak with a person he chooses.
What if my dad can no longer communicate?
A health care proxy named in a durable power of attorney for health care can make medical decisions when your dad cannot communicate. Without an advance directive, the law in his state determines who may make those decisions.
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