Talk of The Villages Florida
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Talk of The Villages Florida (https://www.talkofthevillages.com/forums/)
-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   Medicare to allow balance billing (https://www.talkofthevillages.com/forums/medical-health-discussion-94/medicare-allow-balance-billing-240363/)

golfing eagles 05-18-2017 02:17 PM
Quote:
Originally Posted by Radioman41 (Post 1400219)
Mayo Clinic does not accept Medicare assignments, however, they will bill medicare and the check will come to the patient. I was advised that they can bill up to 15% more than what medicare allows. If this turns out to be how it works, it won't be too bad. I presume the secondary insurance will reimburse their 20% on what medicare allows.
15% wouldn't be bad at all (unless you have a $500,000 bill). But I'd get that in WRITING before committing.

retiredguy123 05-18-2017 02:40 PM
Providers who do not accept Medicare rates, but who will bill Medicare, can only charge 15 percent above the Medicare rate. However, there are some providers who "opt out" of Medicare by signing an affidavit. Those providers can charge anything they want to charge, but they must notify patients that they have opted out of Medicare.


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