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yellowdogintexas

(22,988 posts)
7. Susan it may have been some or all of the charges.
Fri Nov 29, 2019, 06:06 PM
Nov 2019

Most providers will have a similar form to confirm you will pay the difference after insurance.
It's pretty normal in medical insurance and your doctor's insurance person would know that. Ask the dr's office if they have a similar form that patients sign stating that he/she will pay for any non covered service or the portion not paid by insurance. I know I sign one every year at my doctor's office.

Medicare.gov isn't going to know squat about how that payment will pan out or what labs may end up being denied in full. They are responsible for elegibility, premiums and so forth, but they don't do the claims and won't be trained in those specifics.

If you have an Advantage plan the company you bought it from could help you find out if any of the labs were totally non covered. If you have Part B Traditional, there is customer service information on your explanation of benefits forms and they can help you. Your Medicare manual that we all get probably has the phone number you need.

Good luck!



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That unquestionably sucks, but you are stuck with a Hobson's choice... TreasonousBastard Nov 2019 #1
I just went through the same thing BittyJenkins Nov 2019 #2
sounds like the doctor's office may have used an incorrect diagnosis or code on the written order yellowdogintexas Nov 2019 #6
Pretty sure it comes down to the code in my case. Susan Calvin Nov 2019 #11
Did you get the test???? dixiegrrrrl Dec 2019 #22
Thank you for asking. Susan Calvin Dec 2019 #23
Medicare pays for 80% of what is deemed "reasonable" CharleyDog Nov 2019 #3
Except Medicare providers are required to accept the amount Medicare says is reasonable - pnwmom Nov 2019 #4
not exactly how payment is determined yellowdogintexas Nov 2019 #5
The lab I went to did not even contact the doctor's office. Susan Calvin Nov 2019 #12
Susan it may have been some or all of the charges. yellowdogintexas Nov 2019 #7
I'm on traditional Medicare and TRICARE. Susan Calvin Nov 2019 #13
Medicare isn't shy about stating that if a provider won't cover the cost of a procedure then the abqtommy Nov 2019 #8
Wow, it sounds like you talked to some people at Medicare who are actually competent. Susan Calvin Nov 2019 #16
From my experience that is standard, if Medicare or any insurance for that matter doesn't cover still_one Nov 2019 #9
I'm not sure now, since they wouldn't give me a copy of the ABN, Susan Calvin Nov 2019 #14
I think your assessment is probably right. Regardless, if you need the results in orders to know still_one Nov 2019 #15
Thank you so much for the responses. Susan Calvin Nov 2019 #10
That is absolutely standard. PoindexterOglethorpe Nov 2019 #17
Actually, they had the cost right on the form they wanted me to sign. Susan Calvin Nov 2019 #18
Oh, good, I'm glad they had the cost. PoindexterOglethorpe Nov 2019 #19
You're probably right about the Medicare website, but I have had no luck so far . Susan Calvin Nov 2019 #20
Trust me, there is zero transparency about the cost of anything PoindexterOglethorpe Dec 2019 #21
That's for sure El Mimbreno Dec 2019 #24
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