Question: How will I know what I have to pay for outpatient services I get?
Answer:
After you get an outpatient service, your provider will send a bill to the
Medicare Administrative Contractor (MAC). The MAC is the private
company that handles outpatient bills for Medicare. After the MAC
processes the bill, you will get a Medicare Summary Notice. This notice will
show how much you have to pay for the services you got. The notice will
also show how much Medicare paid your provider for the services.
Check the Medicare Summary Notice carefully. Make sure Medicare wasn’t billed for services, medical supplies, or equipment you didn’t get.
If you have questions about your bill or the services listed on the notice, call the health care provider or MAC in your state. The telephone number for the MAC is at the top of the Medicare Summary Notice.
You can also call 1-800-MEDICARE (1-800-633-4227) to get the telephone number. TTY users should call 1-877-486-2048. If you disagree with what is covered or paid, you have the right to file an appeal.
