Medicare requires patients to be aware and sign this notice. Medicare only pay for care that is absolutely not covered under any other program, such as auto injury, on the job injury (WC), Black Lung disease, liability / personal injury with attorney, VA (DVA), disability paid for by carrier other than Medicare, end stage renal disease and any other possible special case. Of course, Medicare will allow you to use your Medicare approved supplemental, Medigap and/or secondary coverage.
If you and/or your spouse have a group policy and your spouse is working, you may be covered by another insurance. We are asking you to please discuss this with the front desk and the physician treating you to make sure Medicare is the only choice for your treatment or care. This saves the Medicare system money. The Federal Government requires us to make sure that Medicare is the only source of coverage.
To the best of my knowledge and understanding, medicare is the only primary insurance available to pay for my care.