Most of the providers in our office are in-network participating providers with Medicare. This means that we submit claims to Medicare, and receive reimbursement directly for covered services according to the terms of your benefits plan.
It also means that we accept whatever fee reduction/discount Medicare may impose, according to the terms of our provider contracts. You are not balance-billed for the difference between our usual fee, and the reduced fee allowed by Medicare. You are financially responsible for any co-payments/co-insurance, deductibles, and non-covered services.
Because Medicare requires a referral or Doctor’s order for certain services, such as neuropsychological testing, you should check with your plan administrator or call the Customer Service number on the back of your insurance card to see if a referral or Doctor’s order is necessary before to your first appointment.