@lookingforward I am not going to debate with you. From your first post in this thread, you used your experience with MA coverage to interject the discussion. There is no "In some cases, it supercedes Medicare. In others, it goes by their standards. ". They do not pay if medicare denies the coverage, and pay the balance if medicare covers.
@JazzyTXMom thank you and thank you for link. I agreed with @Knowsstuff it can be very frustrating and in the case of provider, I have to sign an agreement that I be financially responsible for treatment. It was done prior to my switching to medicare, I have to check whether it is the same as the ABN and apply in general…
@thumper1 I understand what you meant, but as in other posts, we cannot assume the doctor’s office knew what is covered or not. In the case of my doctor, we signed a document that we would be financially responsible (I suspect many people do). You mentioned the doctor’s office took care of the authorization. It really makes no difference, bottom line is someone will have to get the authorization (on behalf of the patient). This went back to my initial post that in order to get that authorization which is handled by my doctor’s office, my doctor’s office scheduled me 6 weeks out.