NOTE: If Medicare doesn't pay for
below, you may have to pay. Medicare does not pay for everything, even some care that you or your health care provider have good reason to think you need. We expect Medicare may not pay for the
Oculoplastic Consultation / Procedure / Surgery
May not be deemed as medically necessary.
Per Medicare Fee Schedule
This notice give our opinion, not an official Medicare decision.
If you have other questions on this notice or Medicare billing, call
1-877-486-2048). Signing below means that you have received and understand this notice. You also receive a copy.