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Denial of mayo visit

Bones, Joints & Muscles | Last Active: 3 hours ago | Replies (21)

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@nancyeburford

Thank you so much. I guess it would be nice if they were upfront. I was under the understanding. Rochester took Medicare Advantage. They let me set up a royal and fill out a questionnaire with ability to be very thorough. Know many people from our town that were not denied and haven’t had all the tests and specialists I have gone through

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Replies to "Thank you so much. I guess it would be nice if they were upfront. I was..."

@nancyeburford Here is the page for insurance information for Mayo that I'm posting for everyone who is wondering. The best bet is to call the Mayo Insurance & Billing office and ask if your insurance is accepted before requesting an appointment. Medicare "Advantage' plans tend to look at claims that were already paid and re-evaluate them. They may deny them after the fact, and then come back to the provider for reimbursement. That's why a lot of providers won't accept them. If a provider is in the network of the "advantage" plan, it is a bit like being an HMO provider and they dictate what the provider is able to charge for the care often at a lesser rate. I can understand why Mayo doesn't accept them because it is a risk that they will loose money if claims are reassessed and denied. This is the reason I stayed with real Medicare because that is accepted at Mayo and elsewhere in the country.
https://www.mayoclinic.org/billing-insurance/insurance