Opt Out of Medicare

Opt Out and Private Contracting

Opt out does not require a physician or practitioner to initially enroll with Medicare or complete a CMS-855I application.

Opting out of Medicare allows a physician or practitioner to render services to Medicare-enrolled beneficiaries under a private contract.

Neither the physician or practitioner, nor the beneficiary submits the bill to Medicare for services rendered.

The beneficiary pays the physician or practitioner out-of-pocket and neither is reimbursed by Medicare.

A private contract is a signed agreement between the physician or practitioner and the beneficiary that states, that neither one can receive payment from Medicare for the services that were performed.

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