As part of our commitment to transparency, we want to let you know when a service or item may not be covered by Medicare. In these situations, we provide a form called an Advance Beneficiary Notice of Noncoverage (ABN).

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You may receive an Advance Beneficiary Notice of Noncoverage (ABN) if a service or item your provider recommends may not be covered by Original Medicare. This notice lets you know ahead of time that Medicare might not pay for the service, and if that happens, you may be responsible for the cost.

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The ABN helps you make an informed decision about whether to receive the service and accept potential financial responsibility.

If you have questions about the ABN or what it means for you, please don’t hesitate to ask our team.

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Why You Might Receive an ABN in Palliative Care

You may receive an ABN if we recommend care that Medicare may not pay for, including:

• Treatments or medications not related to your primary diagnosis

• Services provided more often than Medicare allows

• Home health, equipment, or labs outside of palliative care or standard Medicare rules

• Additional supportive services that go beyond Medicare’s coverage guidelines

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What Are My Choices?

Option 1 – You choose to receive the service and ask us to bill Medicare.

• If Medicare doesn’t pay, you’ll be responsible for the cost.

• You can appeal the decision.

Option 2 – You choose to receive the service but don’t want it billed to Medicare.

• You pay the full amount.

• You cannot appeal.

Option 3 – You choose not to receive the service.

• You don’t pay anything.

• You cannot appeal.

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What You Should Do

• Read the ABN carefully and check one of the boxes.

• Ask us any questions you may have.

• Keep a copy of the ABN for your records.

We’re here to support you in making informed choices about your care.
If you have questions, ask a team member or call 1-800-MEDICARE.