Your Medicare coverage and claims
Mayo Clinic's campus in Florida does not accept Medicare assignment for professional and physician services covered under Medicare Part B. The clinic still follows an established fee schedule set by the federal government. Not accepting assignment means patients covered by Medicare insurance may pay more out of pocket. Medicare (and most supplemental insurers) will make payments directly to you, and you are responsible for paying Mayo. Patients with Medicare insurance are not asked to make a payment in advance unless a service is considered non-covered by Medicare.
Medicare considers some items or services to be routine or non-covered. A few examples are: eye refraction, foot care, hearing aids, cosmetic surgery, routine screenings and annual checkup visits. Patients are financially responsible for these services. In addition, there are other items or services for which Medicare determines payment based on the diagnosis. Patients may be asked to sign an Advance Beneficiary Notice (ABN) which informs them that one or more scheduled items or services may not be covered. Any questions regarding a specific item or service should be directed to Medicare at 800-633-4227 (toll free).
If Medicare denies a claim, please follow the instructions under "Appeals Information" on the last page of your Medicare Summary Notice (MSN).
After each episode of care, Mayo Clinic will send you an Itemized Statement of Charges, detailing the services and charges for this visit. This document is not a bill. The Monthly Statement of Account is your bill. This statement is a listing of the payments and adjustments made on each account since your previous monthly statement.
As a nonparticipating Medicare Part B provider, Mayo does not receive a copy of the patient's MSN. Therefore, you are responsible for and should verify that Medicare has considered all items or services. You can do this by comparing the MSN forms received from Medicare to the monthly statements from Mayo.
Mayo Clinic requests payment in full when patients receive the Mayo statement. Please remember that Medicare payments and reimbursements from most supplemental insurers are sent directly to patients. Mayo accepts personal checks, credit cards or money orders. Payments should be mailed to Mayo Clinic, P.O. Box 790124, St. Louis, MO 63179-0124.
To pay by phone with a credit card or to sign up for online bill paying, call 904-953-7058.
For more information
- If you have questions, call Patient Financial Services at 904-953-7058. Hours are 8 a.m. to 5 p.m. Eastern time Monday through Friday.
- The Mayo Clinic, Medicare and You booklet (PDF version) provides more details.
- Detailed information about Medicare coverage is available on the Internet at www.medicare.gov.
Medicare Advantage Plans
Mayo Clinic's Florida campus accepts Preferred Provider Organizations (PPO) and Private Fee-for-Service (PFFS) Medicare Advantage Plans (MAPs). Health Maintenance Organization MAPs are not accepted.
Jan. 08, 2015