{"id":207774,"date":"2020-03-24T08:00:49","date_gmt":"2020-03-24T15:00:49","guid":{"rendered":"https:\/\/americanretirementadvisors.com\/?p=207774"},"modified":"2020-03-23T13:17:38","modified_gmt":"2020-03-23T20:17:38","slug":"surprise-surprise-2020","status":"publish","type":"post","link":"https:\/\/americanretirementadvisors.com\/surprise-surprise-2020\/","title":{"rendered":"Surprise, Surprise &#8211; 2020"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243;][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text _builder_version=&#8221;3.0.101&#8243; background_layout=&#8221;light&#8221;]<\/p>\n<p>Natalie was having a medical issue and her doctor ordered some tests. Since she had Medicare A&amp;B along with a Medicare Supplement (Medigap), she wasn\u2019t worried about the bill payments; between the two coverages the medical bills would be covered. All seemed to be going well; a diagnosis was made and her path to recovery was laid out. A few weeks later, her medical issue was resolved, and she was cured. Sounds like a happy ending, right? Not so fast.<\/p>\n<p>In the coming weeks, Natalie got a shock when she received a bill for a medical service not covered by Medicare. The bill was $6,200 dollars. She called the medical provider for an explanation and was told she had to pay the bill. \u201cBut no one told me this was going to cost me money!\u201d she cried.<\/p>\n<p>In frustration, she remembered what we tell all our clients &#8212; if you have an issue call us and maybe we can help you resolve the issue. She called and we discussed her dilemma, and after getting a copy of the bill and all the facts, she did have recourse.<\/p>\n<p>With Medicare, there is a term \u201cMedicare Advance Written Notice of Noncoverage\u201d. If your doctor or medical provider orders a test or procedure that is not covered by Medicare, they must notify you in writing. This was an ah-ha moment in Natalie\u2019s case.<\/p>\n<p>The medical provider never told her or gave her written notice that the procedure is not covered by Medicare. The Medicare rule is \u201cIf the beneficiary does not get written notice when it is required, they may not be financially liable if Medicare denies payment, and the provider or supplier may be financially liable instead\u201d. There is a CMS (Center for Medicare\/Medicaid Services) form, CMS-R-131, that must be given to the patient.<\/p>\n<p>Natalie called the doctor and asked why he didn\u2019t tell her the medical services he ordered would not be covered by Medicare as required by CMS. The doctor had no excuse and had his billing department write off the bill. Natalie didn\u2019t have to pay&#8230; not one penny! She was relieved, as she was living on a fixed budget and had no way to pay the bill.<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>There is more detail to this story than we have space to print, but if this situation ever applies to you, visit www.Medicare.gov and review the section \u201cMedicare Advance Written Notice of Non-Coverage\u201d.<\/strong><\/h3>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><div class=\"et_pb_row et_pb_row_0 et_pb_row_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> Natalie was having a medical issue and her doctor ordered some tests. Since she had Medicare A&amp;B along with a Medicare Supplement (Medigap), she wasn\u2019t worried about the bill payments; between the two coverages the medical bills would be covered. All seemed to be going well; a diagnosis was made and her path to [&hellip;]<\/p>\n","protected":false},"author":5377,"featured_media":207690,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[111],"tags":[],"class_list":["post-207774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-the-american-retirement-advisor-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>American Retirement Advisors 800-568-1095 Expert Advice<\/title>\n<meta name=\"description\" content=\"American Retirement Advisors, David P. Schaeffer, Retirement Advisor, Retirement Defender, Insure your savings, Save your Savings from Wall Street. 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