Q/A: With a Maintenance Patient of Medicare age that has a Medicare Replacement Plan (Part C), do They Need to Fill out an ABN?

by  Wyn Staheli, Director of Content - innoviHealth
Feb 26th, 2018 - Reviewed/Updated Feb 4th

Question

With a maintenance patient of Medicare age that has a Medicare replacement plan (Part C), do they need to fill out an ABN?

Answer

According to the ABN Booklet by CMS, "You should not use an advance written notice of noncoverage for items and services you furnish under the Medicare Advantage Program (Part C) or the Prescription Drug Benefit (Part D)." Be aware that these plans could have their own type of form that they require so be sure you verify their requirements for non-covered services.