Billing Issues with Medicare in Mayo AZ?

Posted by Bob Vanourek @bobvan, Sep 24 5:16pm

Is anyone else having trouble reconciling the checks received from Medicare for treatment at Mayo AZ with the amounts due Mayo. Very frustrating. It was not clear to me before what I had to do to sort out these billing issues. I wonder if anyone has a good system for doing so?

@bobvan, how frustrating. I'm sorry that this is complicated.

I got this from an FAQ on Mayo's website https://www.mayoclinic.org/patient-visitor-guide/billing-insurance/insurance/faq
Does Mayo Clinic in Arizona accept Medicare insurance?
"Mayo Clinic has chosen to be a nonparticipating facility in Arizona, and thus does not accept assignment from Medicare Part B for out-of-state residents at its campuses in Arizona. Nonparticipating means that Mayo Clinic does not accept the Medicare approved amount as payment in full."

I might suggest that you contact billing at Mayo AZ for assistance https://www.mayoclinic.org/patient-visitor-guide/billing-insurance/contact-us

There are several members here in the prostate group who get care in AZ. I hope others can give first-hand experience.

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Thank you, Colleen. I will follow-up of these links you sent. I am quite disappointed, though, at the lack of instructions from Mayo on this cumbersome, hard-to-understand process. I understand it will be fixed in 2021, but navigating through this nightmarish process with such poor guidance from Mayo is disappointing for such a world-class organization.

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@bobvan

Thank you, Colleen. I will follow-up of these links you sent. I am quite disappointed, though, at the lack of instructions from Mayo on this cumbersome, hard-to-understand process. I understand it will be fixed in 2021, but navigating through this nightmarish process with such poor guidance from Mayo is disappointing for such a world-class organization.

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Bob, I understand your frustration. I wonder if this PDF would help answer some questions. It was written by Mayo Clinic in Jacksonville, but may still be applicable.
– Mayo Clinic, Medicare and You https://www.mayoclinic.org/documents/mayo-clinic-medicare-and-you/doc-20078770
In particular, see the worksheet starting on page 12.

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Bob @bobvan, I'm not sure I am reading your question correctly. Are you trying to compare the payment you receive from Medicare for the Mayo Clinic charges listed on your Mayo Clinic bill? I'm wondering if @healthytoday or @danab may be able to offer some suggestions as I believe they go to Mayo Clinic Phoenix for medical care.

Liked by Bob Vanourek

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@bobvan

Thank you, Colleen. I will follow-up of these links you sent. I am quite disappointed, though, at the lack of instructions from Mayo on this cumbersome, hard-to-understand process. I understand it will be fixed in 2021, but navigating through this nightmarish process with such poor guidance from Mayo is disappointing for such a world-class organization.

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Bob Vanourek @bobvan, I feel your pain. I don't go to Mayo Phoenix by Rochester. In fact I'm leaving for the Hospital for my 4th of 5 SBRT Proton treatment shortly. You mentioned that things in AZ in 2021 will be changing, in what way? I would love to have Mayo AZ accept Medicare's rates since I live on the Oregon coast and to drive to Rochester is 2,200 miles and 4 days while I can make Phoenix in 2 days. Best of luck to you in your prostate problems. Dave

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Dave, thanks for your reply. I spoke to Ellen in Financial Services (844-217-9591). She told me Mayo Jacksonville used to not accept Medicare payments directly but they now do. She said Phoenix would begin to accept Medicare payments directly in 2021. I can't verify that, but maybe you can find out somehow. Good luck with your treatments too.

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Thanks for the quick response. Guess we will have to wait and see if it's true. Best of luck with your prostate. Dave

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