FAQ: Medicare Billing

You will be asked to read and sign an Advance Beneficiary Notice (ABN) – Medical Necessity Waiver prior to receiving care that falls in a category that Medicare may not consider covered. In that instance, you accept responsibility for payment of the full amount charged.

The Advance Beneficiary Notice (ABN) helps you to make an informed decision whether to receive the service or item that is not covered by Medicare and how much this service will cost you.

If you have given us information about your additional health insurance, we will bill that insurance company after Medicare makes their payment.

Medicare will not allow us to file claims until the other insurer has denied claims. In certain situations, we must consider the possibility that another party may be responsible for your expenses before we bill Medicare. For example, if you were injured in a car accident, or at your work site or on someone else’s property, it is our responsibility to make sure those claims are filed appropriately. Consequently, we need to have complete information about all insurance coverages you have.

Content

The Explanation of Benefits form is an informational document that Medicare sends to you after it has processed your medical claim. The Explanation of Benefits provides you with information about the payment status of your bill.

We recommend you keep your EOB for your records.

Part A covers inpatient hospitalization and Part B covers outpatient and professional services.

For detailed answers, please visit the Medicare Website

No, this amount could change depending on your individual insurance coverage. You should wait until you receive a bill from Eaton Rapids Medical Center before making payment.

Billing Department Hours

Monday – Thursday
8am – 6pm

Friday
8am – 5pm

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