I am looking for some guidance re: Medicare Advantage (MA) plans. I am not in-network with MA plans and I am unclear on OON billing. My understanding is that billing depends on OON coverage (i.e., 65+ patients who do not have OON benefits may pay privately. However, if 65+ patients do have OON benefits pay, they are responsible for the co-pay only and should bill the plan following traditional Medicare rules). Am I understanding this correctly?
Thank you in advance.
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