Common Contracts
1 similar Beneficiary Agreement contracts
Advanced Beneficiary NoticeBeneficiary Agreement • March 26th, 2012
Medicare will only pay for services that it determines to be “reasonable and necessary” under section 1862 (a)(1) of the Medicare law. If Medicare determines that a particular service, although it would otherwise be covered, is “not reasonable and necessary” under Medicare program standards, Medicare will deny payment for that service. Specifically, MediCare will deny payment for a Screening Pelvic and Breast Exam if you have had one during the last two years. The office visit charge of your Annual Exam is not covered by Medicare and you will be billed for that portion.
