Mayo Clinic Jacksonville: Medicare Coverage And Acceptance

Mayo Clinic Hospital in Jacksonville accepts Medicare patients with Original Medicare (Parts A and B), Medicare Part D, and a Medicare Supplement plan. As of 2020, the Mayo Clinic in Florida accepts full Medicare Assignment, meaning they will not bill excess charges. However, it's important to note that Mayo Clinic does not accept non-contracted Medicare Advantage PPO plans, and a doctor's referral is required for treatment. To confirm coverage, it is recommended to check with the specific Mayo Clinic location and the individual's health plan.

Mayo Clinic Jacksonville accepts Medicare Part A and B

The Mayo Clinic in Jacksonville accepts Medicare patients with Original Medicare (Medicare Part A and Medicare Part B). Original Medicare is made up of two parts: Medicare Part A, which covers hospital services, and Medicare Part B, which covers clinic services, doctor fees, and outpatient services.

The Mayo Clinic is a participating Medicare facility in Arizona, Florida, Rochester, New York, Minnesota, and all Mayo Clinic Health System locations. The Mayo Clinic in Florida accepts full Medicare Assignment and does not bill Excess Charges.

Medicare Advantage plans are private plans that are most often not accepted at centers of excellence like the Mayo Clinic. If you have a Medicare Advantage plan, it is important to carefully review your plan and communicate with the Mayo Clinic to determine if your plan is accepted.

It is always recommended to contact the Mayo Clinic directly to confirm that your specific Medicare plan is accepted at their facilities.

Medicare Part D is also accepted

Mayo Clinic has established arrangements with several healthcare insurers, including Medicare. Medicare has two billing parts: Medicare Part A (hospital insurance) and Medicare Part B (medical insurance). Mayo Clinic accepts both parts of Medicare and also welcomes Medicare patients with Original Medicare (Parts A, B, and D) and a Medicare Supplement plan in all its hospitals.

Medicare Part D is a prescription drug plan. Mayo Clinic may accept Medicare patients who have signed up for Medicare Part D. This means that Medicare Part D is also accepted at all Mayo Clinic locations.

If you have a Medicare Supplement plan, you may or may not be responsible for paying "Excess Charges". The Mayo Clinic in Florida accepts full Medicare Assignment, so those on Supplement Plan N will not see an additional bill for Excess Charges. However, the Arizona Mayo Clinic facility does not accept Medicare Assignment, so those on Plan N might be billed for Excess Charges.

If you are unsure whether your Medicare plan is accepted at Mayo Clinic, you can contact Patient Account Services or the customer service department. You can also call (623) 223-8884 to speak with a licensed agent who can help you review your plan and ensure it is accepted at Mayo Clinic.

Supplement plans are accepted, but may vary by location

The Mayo Clinic is a participating Medicare facility in Arizona, Florida, Rochester, New York, Minnesota, and all Mayo Clinic Health System locations. The Mayo Clinic accepts Original Medicare (Parts A, B, and D) and Medicare Supplement plans (Medigap).

Medicare Supplement plans are accepted at the Mayo Clinic, but this may vary by location. As of 2020, the Mayo Clinic in Florida accepts full Medicare Assignment and does not bill Excess Charges. However, the Arizona Mayo Clinic facility does not accept Medicare Assignment, so those on Plan N might be billed for Excess Charges.

It is important to note that Medicare Advantage plans are private plans that are often not accepted at centers of excellence like the Mayo Clinic. If you have a Medicare Advantage plan, it is recommended to carefully review your plan and communicate with the Mayo Clinic to determine if your plan is accepted.

To ensure that your specific Medicare Supplement plan is accepted at the Mayo Clinic location you plan to visit, it is advisable to contact the clinic directly or refer to their website for the most up-to-date information. Additionally, you can consult with a licensed insurance agent to help you review and select a plan that aligns with your healthcare needs and budget.

Medicare Advantage plans are not accepted

Mayo Clinic has established arrangements with several healthcare insurers. The Mayo Clinic is a participating Medicare facility in Arizona, Florida, Rochester, New York, Minnesota, and all Mayo Clinic Health System locations.

The Mayo Clinic accepts Original Medicare (Parts A, B, and D) and Medicare Supplement plans (Medigap). However, they do not accept non-contracted Medicare Advantage PPO plans. Medicare Advantage plans are private plans that are most often not accepted at centers of excellence like the Mayo Clinic.

If you have Original Medicare (Medicare Part A and Medicare Part B), Medicare Part D prescription drug plans, or a Medicare Supplement plan, the Mayo Clinic may accept you as a patient. Medicare Part A (hospital insurance) helps to pay for hospital services, while Medicare Part B (medical insurance) helps to pay for clinic services, doctor fees, and outpatient services.

If you have any additional insurance coverage, it is recommended that you provide this information to the Mayo Clinic when making your appointment. It is also important to note that a doctor's referral is required for treatment at the Mayo Clinic, and there may be preauthorization requirements before your visit.

Referrals and preauthorization may be required

Mayo Clinic is a participating Medicare facility in Arizona, Florida, Rochester, New York, Minnesota, and all Mayo Clinic Health System locations. It accepts Original Medicare (Parts A, B, and D) and Medicare Supplement plans (Medigap). However, it does not accept non-contracted Medicare Advantage PPO plans.

If you are a Medicare patient and would like to receive care at the Mayo Clinic, you must have a doctor's referral and fulfill preauthorization requirements before your visit. This is because Mayo Clinic providers and hospitals are contracted with specific organizations, and your benefit coverage is determined solely by your insurance company and the provisions of your specific medical benefit plan.

If you have Original Medicare, Medicare Part D, and a Medicare Supplement plan, you may still be responsible for paying "Excess Charges" that exceed the Medicare-approved amount. These charges vary depending on your specific Medicare Supplement plan letter. For example, as of 2020, the Mayo Clinic in Florida accepts full Medicare Assignment and does not bill Excess Charges. On the other hand, the Arizona Mayo Clinic facility does not accept Medicare Assignment, so those on Plan N might see an additional bill for Excess Charges.

If you are unsure whether Medicare is your primary insurance provider, you can refer to the Coordination of Benefits (COB) Patient Guide or contact the Medicare Benefits Coordination & Recovery Center (BCRC) at 855-798-2627 (toll-free). Additionally, if you have any additional insurance coverage, be sure to provide this information to the Mayo Clinic when making your appointment.

Frequently asked questions