WHO PAYS FOR SERVICES?
You pay the bill. You will have to use your own money to pay the ENTIRE cost of my services.
ARE THERE CHARGE LIMITS?
No, Medicare charge limits DO NOT apply to products or services you receive from me through this private-pay medical services contract. I am able to charge you whatever amount you and I agree to.
WILL MEDICARE HELP PAY?
No, Medicare will NOT help pay your bill. Because I separated from Medicare, it is against the rules for you to send a bill to Medicare for my services or ask to send the bill to Medicare for you.
BUT ISN’T THIS A MEDICARE-COVERED SERVICE?
Yes and no. Yes, Medicare would pay for the same service from a provider who is connected to Medicare. No, Medicare won’t pay because I have separated myself from Medicare.
WHAT OPTIONS DO I HAVE?
You have the right to get your product or service from a provider connected to Medicare or from me, a provider separated from Medicare. Even if you get your product or service from me, you can always get products and services from providers connected to Medicare. These providers are not required to have you sign private-pay medical services contracts.
WHAT IF I AM HAVING A MEDICAL EMERGENCY?
This contract does NOT cover emergency or urgent care services. If you have an emergency or urgent medical need, ask me for help. It is against Medicare rules for me to have you sign a private-pay medical services contract for emergency or urgent medical services.
WILL MY MEDIGAP OR OTHER SUPPLEMENTAL PLAN HELP PAY?
No, Medigap plans WILL NOT help pay for products or services you get from me. If you have some other medical insurance plan, it MIGHT NOT help pay your bill either.
Noridian Healthcare Solutions, LLC Page 1 of 2 Last Updated: 10/2/2023
WHAT ELSE DO I NEED TO DO?
If you decide to sign this contract, make sure that I also sign the contract.
It is also important you get a copy of the contract to keep. This way you will have a copy to look at if you have any questions about the contract in the future.
WILL CMS GET A COPY OF THE CONTRACT?
I, the provider, will supply a copy of this contract in the event CMS requests a copy.