Monday, May 2, 2011

ABN's (Non-covered service form)

ABN
Advance Beneficiary Notice of Non-coverage

There may be an instance when you want or need to have an exam or procedure that insurance will not cover.  In this case, the provider may have you sign an ABN (Advance Beneficiary Notice of Non-coverage), which states that you may be responsible for the charges in the event your insurance company does not pay the charges.  An example of a non-covered service would be fertility testing.  Most insurance companies will not pay for any fertility testing and your provider may have you sign an ABN before any fertility examinations or procedures are performed.  You can ask your provider if they will discount your bill to “insurance rates”, (what your insurance would pay them if it were a covered benefit), but chances are they will ask you for the full payment up front when you come in to have the service.  You can also ask them to bill your insurance company, but chances are your insurance company will deny payment.

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