Medical Billing Forum
Billing => Billing => : mkroper June 14, 2013, 03:42:13 PM
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Do the Medicare Advantage Plans pay providers according to the Medicare fee schedule or their own contracted fee schedule? Still Learning!
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They must offer AT LEAST the same benefits of Original Medicare but they can reimburse at a different rate.
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They must offer the same BENEFITS to the INSURED. This does NOT mean that they reimburse the provider the same amount as Medicare.
Each insurance carrier is different. Oxford Medicare for example does not reimburse at Medicare rates. Neither does the AARP Medicare Complete. THey reimburse at a much lower rate.
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Thank you for your help!