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What insurance is accepted at Mayo Clinic?
Visiting Mayo Clinic | Last Active: Mar 25 10:12pm | Replies (12)Comment receiving replies
@vic83 Hello, @vic83 You are mostly correct about the Medicare Advantage Plans that are sold by for profit insurance companies. When I went to Mayo for a septal myectomy, there was full cooperation between my not-for-profit Advantage Plan and the Mayo billing office. That insurance is what my former employer offers for its retirees. Much to my surprise, I was charged the $350 copay for my stay at St Mary's rather than the $800 out-of-network amount I expected to pay (there was no hospital in my network that does this surgery and me going to a COE was a top priority for my cardiologist). In fact, it states in the policy "worldwide coverage" when circumstances merit it. The total medical copays for Mayo came to about $450.00. People should call the billing office and discuss their unique situations.
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@walkinggirl Plan situations can be hard to understand so a phone call to Mayo billing and confirmation from your insurance company is always recommended. I was referring to Medicare Advantage plans that a Senior buys INDEPENDENTLY, not the benefit plan one may have through their former employer.
I have friends with plans from former employers, and it is not always clear what is going on. One has to check every year to see if one's preferred doctor is still in their network because doctors can leave these networks. Or the company negotiates a different deal - I have family that now have copays when they have not had them for 20+ years - to keep the premium at the same price.
My Medgap plan is not cheap, but it goes wherever Medicare goes - and if they don't take Medicare then that would be a whole new discussion! So, I don't need to check networks, and I never see a bill. But as a sole "retail" customer I do not get special pricing!
Recent announcement from Mayo: As of January 1, 2026, Mayo Clinic will exit the network for most Medicare Advantage (MA) individual plans and Dual Special Needs Plans (D-SNP) in Minnesota, Wisconsin, and Iowa. This means that patients enrolled in these plans will no longer have in-network access to Mayo Clinic facilities. 2
Continued Access for Some Plans: Patients enrolled in employer-sponsored commercial plans and Medicare Advantage Group Retiree plans will still have access to Mayo Clinic.