Saturday, October 15, 2022

"Non-participating" medical providers

 As I understand it, "non-participating" Medicare providers accept Medicare patients, but may charge them up to 15% more than the Medicare's "Fee schedule" amount.  I think, but am not sure,  that those with a medigap insurance policy  that normally pays the 20% not covered  by Medicare will also take care of the extra 15%.  This chart has an error---the $76 and $19 figures should be in the other order.   Patients may need to pay this full charge (which is much less than what the provider would bill non-Medicare patients) and then get reimbursed by Medicare.  



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