Opt Out of Medicare - JE Part B

Opt out is a contract between a provider, beneficiary and Medicare where the provider or beneficiary does not file a claim to Medicare. The physician or practitioner bills the beneficiary directly and is not required to follow the fee-for-service charges determined by Medicare.

In order to opt-out, providers must submit an Opt Out Affidavit with Medicare and must keep a Private Contract with all beneficiaries on file for each two-year period. Follow the below links to learn more about opting out.

• Opt Out Process and Requirements - Determine eligibility and follow the steps required to opt out.
• Opt Out Services and Management - Guidelines for activities after the initial opt out request is processed.
• Opt Out Listings - View a list of practitioners who are currently opted out of Medicare.