What States Don’t Permit Doctors To Overcharge What Medicare Pays?
37376 POINTSview profileDavid G. Pipes, CLU®, RICP®Business Development Officer, T.D. McNeil Insurance Services, Fresno, CaliforniaIn a free economy anyone is allowed to charge whatever they feel that the market will bear. In fact if a person gets together with others in the same occupation and seeks to set prices they are violating law. Medicare pricing limits what Medicare will reimburse a physician. Some doctors will accept Medicare payment as payment in full.Answered on January 13, 2015flag this answer
10968 POINTSview profileTim WilhoitOwner, Your Friend 4 Life, Brentwood TNFirst of all, Medicare is ran by the Centers for Medicare and Medicaid Services or CMS as it is more popularly known. This is a federal agency so it is not state ran. Therefore, all states equally accept what Medicare pays as the final payment and cannot balance bill a senior. Physicians must take a certain percentage of patients that are one Medicare. They agree by contract to accept the Medicare payment schedule and prohibited by law to balance bill.Answered on January 14, 2015flag this answer
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