If you have Medicare
You are welcome here. Medicare simply works differently in this practice — here is exactly how.
Start here: Jessica has formally opted out of Medicare. That is a specific legal status, not a refusal to see you. It means Medicare will not pay for her visits — and federal rules ask us to put that in writing before we begin, so nobody is surprised by a bill.
The private contract
Before your first visit you will sign a short, plain agreement required by federal rule. It says four things:
You keep a copy, we keep the signed original, and it is renewed periodically. It is never signed while you need emergency or urgent care — those rules protect you.
What this means in practice
Opting out applies to Jessica’s own visits — not to what she orders. Labs, imaging, and prescriptions are generally still processed under your Medicare coverage in the ordinary way. We will tell you upfront if something is an exception.
Because no claim is filed, there is nothing to submit — and a Medigap or supplemental policy will generally not reimburse either, since Medicare never paid first. This is the part people are most often surprised by.
If your coverage is through a Medicare Advantage plan rather than original Medicare, the same rules apply — the plan cannot pay for her visits either, directly or indirectly. You will sign the same private contract.
(541) 250-0109
General information, not legal or insurance advice. Opt-out status and private contracting follow federal Medicare rules.