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Medicare Specific Issues
Accepting Assignment to Medicare:
- Richmond Eye Associates accepts
assignment to Medicare, which means that we accept the payments for
services that Medicare allows. Medicare pays 80% of this allowed amount
for a service, and the patient is then responsible for the additional
20%. This may be paid by a secondary insurance. By accepting assignment,
we agree to NOT bill the patient for more than the allowed amount
defined by Medicare for the service. We have no control over what
payment values Medicare places on office and surgical services.
Refraction (the determination of a glasses prescription) and non-covered
services are exceptions of where Medicare allows
billing of the patient for a service that they do not cover.
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Medicare Coverage of Glasses After Cataract
Surgery:
- Medicare may help with the cost of
spectacles (lenses and/or frames) one time after cataract surgery has
been performed. The patient must have Medicare coverage when the
surgery is performed to be covered.
Medicare does not cover 100% of the cost. Instead, 80% of the
Medicare "allowable" charge is covered. The patient will be
responsible for any amount that Medicare does not cover.
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