PRIVATE CONTRACT – Medicare opt out April 1, 2020 - 2022Medicare Opt-Out Agreement • April 4th, 2020
Contract Type FiledApril 4th, 2020and is a Medicare Part B beneficiary seeking services covered under Medicare Part B pursuant to Section 4507 of the Balanced Budget Act of 1997. The Physician has informed Patient that Physician has opted out of the Medicare program effective on April 2020 for a period of at least two years and is not excluded from participating in Medicare Part B under Sections 1128, 1156, or 1892 or any other section of the Social Security Act.