@EliteInsPartners
There are always different scenarios so it is always best for the patient to know before refusing to pay the deductible - all or part - when a provider ask.
Medicare is like any other insurance plan, you have to understand your (own) coverage and all the various specifics.
Medicare, as the insurer, uses many generic terms like "usually", "may" so as not to get pigeon-holed into any "always-type" answers because it just always depends on the surrounding circumstances.
Medicare.gov - Lower Cost With Assignment
Here's what happens if your doctor, provider, or supplier accepts assignment:
- Your out-of-pocket costs may be less.
- They agree to charge you only the Medicare Deductible and Coinsurance amount and usually wait for Medicare to pay its share before asking you to pay your share.
- They have to submit your Claim directly to Medicare and can't charge you for submitting the claim.If your doctor, provider, or supplier doesn't accept assignment
If your doctor, provider, or supplier doesn't accept assignment
Non-participating providers haven't signed an agreement to accept assignment for all Medicare-covered services, but they can still choose to accept assignment for individual services. These providers are called "non-participating."
Here's what happens if your doctor, provider, or supplier doesn't accept assignment:
- You might have to pay the entire charge at the time of service. Your doctor, provider, or supplier is supposed to submit a claim to Medicare for any Medicare-covered services they provide to you.
- They can't charge you for submitting a claim. If they don't submit the Medicare claim once you ask them to, call 1‑800‑MEDICARE.
more at the link ~
It's Always Something . . . . Roseanna Roseannadanna