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.
Saturday, October 15, 2022
"Non-participating" medical providers
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