For
All
Payers
(Medicare
and
Commercial)
-
Private
Payors
verbiage:
-
Patients
with
Commercial
(Private)
Insurance:
In
addition
to
relevant
laws,
private
payor
contracts
generally
require
that
the
provider
collect
copays
and
deductibles.
Failure
to
do
so
without
the
payor’s
express
approval
would
violate
the
contract
terms
and
could
result
in
claims
for
breach
of
contract
or
repayment.
The
health
care
provider
may,
however,
elect
to
waive
all
or
a
portion
of
the
Medicare
patient
responsibility
if
the
health
care
provider
determines
that
the
beneficiary
does
not
have
the
ability
to
pay.
To
assist
us
in
determining
if
you
have
the
ability
to
pay,
please
answer
the
following
questions:
-
Medicare:
-
Medicare
law
requires
a
health
care
provider
that
accepts
an
assignment
for
services
billed
to
the
Medicare
program,
to
bill
the
beneficiary
for
their
portion
of
the
cost
of
these
services.
The
health
care
provider
may,
however,
elect
to
waive
all
or
a
portion
of
the
Medicare
patient
responsibility
if
the
health
care
provider
determines
that
the
beneficiary
does
not
have
the
ability
to
pay.
To
assist
us
in
determining
if
you
have
the
ability
to
pay,
please
answer
the
following
questions:
Fill
out
the
form
below,
or
click
here
to
download
a
pdf
version.