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Familiar with "TOPS" spine surgery?

Spine Health | Last Active: 1 day ago | Replies (63)

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Profile picture for Mariette R. @marietter

@ou14mejc If your surgeon is a participating physician with Medicare , he cannot bill more than the Medicare APPROVED AMOUNT.
If he is NOT a participating provider, there is still a limit he can charge you beyond the Medicare approved amount. Perhaps that’s what he’s referring to. Sometimes there are additional procedures they cannot foresee which may add to the cost.
In the end, you must do what will help you feel better. Most physicians will work with you to pay monthly on the balance due. They don’t want your balance sent to a collection agency where they only receive a third of your balance because the agency keeps their part. By law as long as you’re paying a reasonable monthly amount, doctors will work with you.
You may also look into Care Credit to pay off the doctor’s bill, you then pay this company monthly. No interest for the first year too. Best regards.

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Replies to "@ou14mejc If your surgeon is a participating physician with Medicare , he cannot bill more than..."

@marietter I have spoken with several TOPs doctors in different states. I started with California because I wanted a surgeon who has done this procedure many times. The surgeon there who was on the trial team accepts cash only...no insurance. I have been told that many of the surgeons who accept Medicare still charge extra, above what Medicare pays. What I am being told is that Medicare pays for the procedure, but not for the device itself. It's confusing....Thanks for the response. I just hope I don't get a large bill AFTER the surgery!