Opting Out of Medicare? All you need to know!

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You’ve decided to opt out of Medicare. But you have a lot of questions. Here are the answers in a clear and easy to understand format.

Version Date: February 26, 2024

 

Opting Out of Medicare seems simple enough. Send in an Affidavit, give the client a Private Contract, and you’re done! Right?

That would be nice! But this IS Medicare, which means there are rules, nuances, what-ifs, and if you don’t follow each and every one, you could be heavily penalized. Medicare isn’t terribly forgiving to clinicians who don’t know the rules.

Now, in one place, is a comprehensive FAQ with all the questions I’ve been asked about opting out of Medicare. Along with the answers, you get citations:  here’s where it’s written that… in case there are any questions or challenges. Plus, links to all the affidavits, private contracts, addresses, and phone #’s of every Medicare contractor in the US.

Also includes answers about Medicare “Advantage” (Medicare plans operated by private insurance companies)!

The guide doesn’t just tell you how to opt out. It includes a comprehensive explanation of:

  • Why it’s in your best interest to choose to either opt out or enroll!
  • What can happen if you don’t make a choice?
  • Why you can’t continue to be paid by Medicaid as the primary/only payer now that you’re an eligible Medicare provider and decide to opt out.
  • Groups: what if some of your clinicians enroll but others don’t?
  • What happens if you don’t want to take Medicare in your private practice but you work for another entity that bills Medicare for your services?

Stop searching online! Here are detailed, comprehensive, and clear answers to your questions about opting out of Medicare!