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| What if I need a health care service or supply that Medicare doesn’t cover? |
| Medicare - How are Bills Paid in Original Medicare? |
If you have Original Medicare and your health care supplier or provider thinks that Medicare probably (or certainly) won’t pay for certain services for you, the supplier or provider must tell you in writing. This is called an Advance Beneficiary Notice, or ABN, and it explains what items and services Medicare won’t pay for and why. You will be asked to choose an option on the ABN indicating whether you still want to get the service and to sign the ABN. If you choose to get the service listed on the ABN, you must agree to pay if Medicare doesn’t pay. An ABN isn’t an official denial of coverage by Medicare. You can still ask your health care provider or supplier to submit the bill to Medicare. If payment is denied, you can file an appeal. If you aren’t sure if Medicare was billed for the services you got, call or write to the health care provider and ask for an itemized statement. This statement will list each Medicare item or service you got from your health care provider. |
