CalVCB may pay for medical and medical-related expenses that are caused by a crime, including:
- Medical services
- Hospitalization, surgery, ambulance transportation and prescriptions, skilled nursing facilities, rehabilitation centers, service dogs, laboratory services, eye and hearing exams, physical and occupation therapy, durable medical equipment and more.
- Medically necessary items
- Eyeglasses, hearing aids, dentures, orthotic appliances and prosthetic devices that are lost, stolen or broken during the crime, or become necessary due to the crime.
- Certain alternative medical treatments (physician referral and session limits apply).
Providers must submit medical bills on a Centers for Medicare & Medicaid Services (CMS) 1500 or 1450 form and include:
- Patient’s name and address
- Date(s) of service
- Type(s) of service(s) provided (ICD-10 and CPT codes)
- Billed amount
- Any amount paid by the patient
Provider’s license number, federal tax identification number (FEIN or SSN), business address, telephone number, and billing date.
Rates for medical and medical-related services are:
- Medicare rate for services covered by Medicare.
- 80 percent of the billed amount for:
- Cosmetic surgery (surgeon fee only). Facility and anesthesia fees are subject to reduction.
- Prosthetics
- Durable Medical Equipment
- Hearing aids
- Eyeglasses
