My plastic surgeon does not accept Medicare and requires payment in advance, how much can I expect the reimbursement to be?

II have Medicare PartA and Part B. Also Part F.

Doctor Answers 3

If your plastic surgeon has dropped out of Medicare

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
and is not voluntarily not accepting Medicare, you will get nothing back.  If your surgeon is a provider that chooses not to accept Medicare and then accepts you as a patient, its likely your surgeon will have to accept what Medicare reimburses him/her with your 20% co-pay.  Either you're a provider or you're not...

Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
You need to talk to your surgeon's office about this. I am not sure that Medicare will reimburse you anything. First, you don't say what you are having done. The allowable charges are specific to the procedure. Next, the charges are different in different areas of the country. I am not surprised that a non-participating provider would demand payment upfront. 

Tracy E. McCall, MD
Milwaukee Plastic Surgeon
5.0 out of 5 stars 1 review

Medicare breast reconstruction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The reimbursement would depend on the type of reconstruction performed. Implant based reconstruction may require two stages and reimburse less than a flap based reconstruction. Best, Dr. Yegiyants 

Sara Yegiyants, MD, FACS
Santa Barbara Plastic Surgeon
5.0 out of 5 stars 20 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.