← Return to Denial of mayo visit

Discussion

Denial of mayo visit

Bones, Joints & Muscles | Last Active: 1 day ago | Replies (21)

Comment receiving replies
@jenniferhunter

@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

Jump to this post


Replies to "@nancyeburford Here is the page for insurance information for Mayo that I'm posting for everyone who..."

Not only Mayo does not take Medicare Advantage plans (except for a few situations in MN) but Medicare Advantage plans are constantly being dropped by other providers across the United States.
Unfortunately, the insurance companies advertise incessantly on TV about Advantage plans
"getting all your benefits" without telling people the real truth - YOU LOSE CHOICE! You have to go to their doctors or pay $$$. They deny coverage frequently because that is their business model to increase profits by not providing services. There are many complaints against Advantage plans, and people should call their Representative in Congress about it.
AND once you are in an Advantage plan, and you want to go back to Original Medicare so that you can go to the doctors you want, yes you can go back to Original Medicare BUT to purchase the Medigap insurance plan to cover the 20% that Medicare does not cover, you are in trouble. Insurance companies no longer have to accept you, or they can charge you a higher premium than you would have paid in the beginning.