Opting Out of Medicare

[Sushirolls]

The goal of this thread is to share experiences of opting out (not going non-par). Please share your experience of getting the forms, developing the required contract notice, etc. For those who are still on panel and billing other insurance, can you still still bill some of the medicare advantage like its business as usual (just getting a lower remibursement rate) or are all flavors of Medicare opted out?

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[splik]

if you opt out of medicare, you opt out of medicare. that includes medicare advantage and managed medicare plans.

 

[Sushirolls]

if you opt out of medicare, you opt out of medicare. that includes medicare advantage and managed medicare plans.

That's been my understanding, too. However, I had some doubts arise as some of my medicare patients have insurance X, and the bills are only submitted to insurance X, and they just simply process it at Medicare rates/rules, and it never once gets sent to the larger MACs (medicare administrative contractor) like Palmetto, WPS, NGS, Novitas, Noridian, etc. This raised question that the patients would insist "I have insurance X" therefore you can continue to see me.

 

[VA Hopeful Dr]

That's been my understanding, too. However, I had some doubts arise as some of my medicare patients have insurance X, and the bills are only submitted to insurance X, and they just simply process it at Medicare rates/rules, and it never once gets sent to the larger MACs (medicare administrative contractor) like Palmetto, WPS, NGS, Novitas, Noridian, etc. This raised question that the patients would insist "I have insurance X" therefore you can continue to see me.

Not worth the risk because if they are mistaken and the government finds out what you're doing they will come after you