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Medicare Private Billing Rules


IMPORTANT-NEW PATIENTS

Prior to your first meeting with the doctor, please download the PDF documents from the links below, print them, sign them, and bring them with you. Thank you.

  • Medicare Beneficiary Private Contract
  • Medicare Patient Private Physician Contract

  • Is a Patient Allowed to File on Her Own for Reimbursement of Services of an Opted-Out Provider?

    No, a patient is not allowed to file for reimbursement of services from an opted-out provider. When a provider opts out of Medicare, neither the provider nor the patient can submit a bill to Medicare for reimbursement. This is a condition of the opt-out agreement that lasts for two consecutive years [2]. An opted-out physician may set their own fees but is prohibited from submitting claims to Medicare or receiving any payment from Medicare [5]. This arrangement also means that Medicare patients treated by an opted-out provider must enter into a private contract with the provider and are responsible for all charges without Medicare reimbursement.


    Is a Patient Allowed to File on Her Own for Reimbursement of Services to Her Private Insurance or Secondary Gap Insurance of a CMS/Medicare Opted-Out Provider

    Yes, a patient can potentially file for reimbursement from their private insurance or secondary gap insurance for services received from a CMS/Medicare opted-out provider. However, this depends on the terms and conditions of the patient's private or secondary insurance policy. When a provider opts out of Medicare, they enter into a private contract with each Medicare patient, which means Medicare will not reimburse any services provided by that provider [1][5]. The ability to file a claim with private insurance or secondary insurance is separate from Medicare's rules. Patients should consult their insurance policy or contact their insurance provider to understand if services from a Medicare opted-out provider are covered and the process for filing such claims.


    Sources

    cms.gov - Manage Your Enrollment
    investopedia.com - What to Do When Your Doctor Doesn't Take Medicare
    medicareadvocacy.org - Part D / Prescription Drug Benefits
    medicareinteractive.org - Participating, non-participating, and opt-out providers
    noridianmedicare.com - Opt Out of Medicare
    palmettogba.com - Providers Opting Out of Medicare: Private Contracting