We are pleased to have the opportunity to provide Neurosurgical
care to Medicare insured patients and have made special accommodations
for them in this practice.
We are not "Medicare providers"; however, this DOES NOT MEAN
THAT WE WILL NOT OR THAT WE CANNOT CONTINUE TO PROVIDE CARE TO MEDICARE
PATIENTS. It does mean that some changes are required by the
Federal Government in order for us to provide that care.
We will share written information with you that explains this new
relationship. While this change (from your usual Medicare
expectations) may appear to cause you some concern at the outset, please
take a few minutes to learn more about this since it may permit
you to enjoy a higher level of care than you otherwise might have access
In addition there are a couple of hidden, pleasant surprises
that go along with this change. The first change that you will notice
and benefit from is that your initial comprehensive Neurosurgical
consultation is free of any charge. Secondly, you may be
eligible for some Federal Income Tax benefits in the event that you come
to require a Neurosurgical operation. (This is explained in a
little more detail below and you will want to consult your tax advisor
regarding this potentiality.)
In the event that a Neurosurgical operation becomes appropriate for
your care, Medicare will continue to cover your costs for
hospitalization (and for any other physicians who do participate) under
Medicare Part A which is the same as for anyone else. There is NO CHANGE
and NO REDUCTION OF BENEFITS.
Another area of "change" relates to a part of your relationship with the
surgeon. In this case both you and the Neurosurgical Consultants'
surgeons are required (by the Federal Government) to enter
into a "Private Agreement" (a "contract") regarding that care.
This means that you and Neurosurgical Consultants must sign a
special form which we will provide to you free of any charge.
The Federal Government absolutely FORBIDS YOU from filing any
additional forms/claims for reimbursement of the costs related to the
"contract" between you and Neurosurgical Consultants.
You cannot file any Medicare or Medi-Gap claims for reimbursement
of our services.
This DOES NOT, IN ANY WAY, AFFECT YOUR MEDICARE COVERAGE FOR ANY
OTHER MEDICARE ELIGIBLE SERVICES or other doctors who continue to
participate in the Medicare program.
The "contract", referred to in the above paragraph, will
have the details of the financial arrangement that is entered into
regarding your Neurosurgical operation. It is this aspect which
may provide you with an additional Federal Income Tax benefit as
Please know that we are sensitive to the financial concerns of all
of our patients and particularly many who are covered by Medicare.
We will make every effort to accommodate your financial situation in
order to lessen the burden that your Neurosurgical problem has placed
Our Business Office will provide you with a written estimate of the costs
of the Neurosurgical procedures. This "estimate" will also include our
commitment to you regarding the ABSOLUTE MAXIMUM "out-of-pocket" expense that
you would ever be responsible for. This "out-of-pocket" guaranteed price is
always at a considerable discount compared to the customary fee. We employ
standardized "Procedural Codes" which are in general use in this country for any
of the operations that we conduct.
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This page last edited on 2/19