The Advance Beneficiary Notice (ABN) is a form that explains what Medicare won’t pay for, the reasons why Medicare won’t pay, and also gives an estimate of costs. The ABN helps to give you enough information to make an informed choice about whether or not to get the care, knowing that you or your other insurer may have to pay for it.
Fort HealthCare provides Advanced Beneficiary Notice to Medicare beneficiaries.
To comply with state and federal laws, Fort HealthCare provides an Advanced Beneficiary Notice (ABN) to Medicare patients before providing services if we know, or should know, that a service may be considered not reasonable or necessary according to Medicare coverage plans.
Fort HealthCare will inform Medicare beneficiaries that an item or service may not be deemed medically necessary by Medicare, and therefore, the beneficiary will be responsible for payment.
Examples of situations for which an ABN would be necessary:
View the official Medicare Services site here.